| Physician Home Care Of Utah,l.c. | |
|
6886 Hollow Mill Dr Salt Lake City UT 84121-3322 | |
| (801) 944-0095 | |
| Not Available |
| Full Name | Physician Home Care Of Utah,l.c. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 6886 Hollow Mill Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | John R Dietlein (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8019440095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Home Care Of Utah,l.c. Po Box 712270 Salt Lake City UT 84171-2270 Ph: (801) 944-0095 | Physician Home Care Of Utah,l.c. 6886 Hollow Mill Dr Salt Lake City UT 84121-3322 Ph: (801) 944-0095 |
| NPI Number | 1326148073 |
|---|---|
| Provider Enumeration Date | 09/23/2006 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326148073 | NPI | - | NPPES |
| 530429522033 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 169963-1205 (Utah) | Primary |
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 |