| Rocky Mountain Care Clinic | |
|
1775 S 4130 W #a Salt Lake City UT 84104-4812 | |
| (801) 975-7799 | |
| (801) 975-7460 |
| Full Name | Rocky Mountain Care Clinic |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 1775 S 4130 W, Salt Lake City, Utah |
| Authorized Official Name and Position | Jackson Rhudy (OWNER) |
| Authorized Official Contact | 8887006907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Care Clinic Po Box 307 Bountiful UT 84011-0307 Ph: (888) 700-6907 | Rocky Mountain Care Clinic 1775 S 4130 W #a Salt Lake City UT 84104-4812 Ph: (801) 975-7799 |
| NPI Number | 1942225461 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942225461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 156694-1205 (Utah) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 5932534-4405 (Utah) | Primary |
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