Option Care Infusion Suites, Llc | |
348 E 4500 S Ste 220 Murray UT 84107-8524 | |
(801) 577-7055 | |
Not Available |
Full Name | Option Care Infusion Suites, Llc |
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Speciality | Nurse Practitioner |
Location | 348 E 4500 S Ste 220, Murray, Utah |
Authorized Official Name and Position | Sarah Kim (DIRECTOR) |
Authorized Official Contact | 8008796137 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Option Care Infusion Suites, Llc 3000 Lakeside Drive Suite 300n Bannockburn IL 60015 Ph: () - | Option Care Infusion Suites, Llc 348 E 4500 S Ste 220 Murray UT 84107-8524 Ph: (801) 577-7055 |
NPI Number | 1164194601 |
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Provider Enumeration Date | 10/04/2021 |
Last Update Date | 01/07/2025 |
Medicare PECOS PAC ID | 5698179125 |
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Medicare Enrollment ID | O20211122002842 |
Identifier | Type | State | Issuer |
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1164194601 | NPI | - | NPPES |
Provider Name | Sarah Elizabeth Cook |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629646591 PECOS PAC ID: 5698177459 Enrollment ID: I20210715003340 |
Provider Name | Corrie L Stapleton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225796451 PECOS PAC ID: 0042603557 Enrollment ID: I20220204002128 |
Provider Name | Brittney Gardner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598486391 PECOS PAC ID: 4688041213 Enrollment ID: I20221110001006 |
Provider Name | Lisa Marie Hanson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003530429 PECOS PAC ID: 4587035167 Enrollment ID: I20230118000976 |
Provider Name | Cory Michelle Savino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770280083 PECOS PAC ID: 5698136133 Enrollment ID: I20230801001854 |
Provider Name | Douglas Earl Farley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427561737 PECOS PAC ID: 8224476593 Enrollment ID: I20240506000904 |
Provider Name | Genevieve Marie Leetham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669027793 PECOS PAC ID: 5698171262 Enrollment ID: I20240717002614 |
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