| Medical Mindshare | |
|
6771 S 900 E Midvale UT 84047-1436 | |
| (385) 420-0092 | |
| Not Available |
| Full Name | Medical Mindshare |
|---|---|
| Speciality | Clinic/Center |
| Location | 6771 S 900 E, Midvale, Utah |
| Authorized Official Name and Position | Renee G Brown (INCORPORATOR) |
| Authorized Official Contact | 8012097232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Mindshare 6771 S 900 E Midvale UT 84047-1436 Ph: (385) 420-0092 | Medical Mindshare 6771 S 900 E Midvale UT 84047-1436 Ph: (385) 420-0092 |
| NPI Number | 1609557305 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 07/26/2023 |
| Medicare PECOS PAC ID | 3375997620 |
|---|---|
| Medicare Enrollment ID | O20230920004004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609557305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Hallie Robbins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326097486 PECOS PAC ID: 5890820534 Enrollment ID: I20100318001008 |
| Provider Name | Travis Arrington |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679359285 PECOS PAC ID: 7719332097 Enrollment ID: I20231005001921 |
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