| Life Health Medical Center, Inc. | |
|
1770 E Fort Union Blvd Ste 101 Salt Lake City UT 84121-2881 | |
| (801) 944-5900 | |
| (801) 944-5910 |
| Full Name | Life Health Medical Center, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 1770 E Fort Union Blvd Ste 101, Salt Lake City, Utah |
| Authorized Official Name and Position | Matthew Paul Wood (PRESIDENT) |
| Authorized Official Contact | 8014506940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Health Medical Center, Inc. 2277 E Arbor Ln Slc UT 84117-5351 Ph: (801) 944-5900 | Life Health Medical Center, Inc. 1770 E Fort Union Blvd Ste 101 Salt Lake City UT 84121-2881 Ph: (801) 944-5900 |
| NPI Number | 1659731941 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 09/29/2016 |
| Medicare PECOS PAC ID | 9436438777 |
|---|---|
| Medicare Enrollment ID | O20161109002105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659731941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Stephanie Plunkett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720034416 PECOS PAC ID: 2567403165 Enrollment ID: I20050513000211 |
| Provider Name | Matthew Paul Wood |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003142241 PECOS PAC ID: 2769517234 Enrollment ID: I20100323000366 |
| Provider Name | Georgia Adwoa Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265985659 PECOS PAC ID: 7416236864 Enrollment ID: I20161108001402 |
| Provider Name | Helen G Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720527245 PECOS PAC ID: 0244503100 Enrollment ID: I20170829002613 |
| Provider Name | Jeffery Crockett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912514217 PECOS PAC ID: 4688088859 Enrollment ID: I20210129000269 |
Ted R Schultz Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 866 Padley St, Salt Lake City, UT 84108 Phone: 801-202-4892 | |
Intermountain Healthcare Flu Shot Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 776 N Terminal Dr, Salt Lake City, UT 84122 Phone: 801-292-6100 | |
U-u Pulmonary Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Ldsh Cancer Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 9th Ave, Salt Lake City, UT 84103 Phone: 801-442-1400 | |
Bmt Division Department Of University Of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Circle Of Hope Dr, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
All For Women Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 E 3300 S, Salt Lake City, UT 84109 Phone: 801-746-7467 Fax: 801-746-7469 | |
University Of Utah Hospital Infectious Disease Division Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-587-6336 |