| Salt Lake Family Health Cntr | |
|
1002 E South Temple 404 Salt Lake City UT 84102 | |
| (801) 350-4479 | |
| (801) 350-4377 |
| Full Name | Salt Lake Family Health Cntr |
|---|---|
| Speciality | Family Medicine |
| Location | 1002 E South Temple 404, Salt Lake City, Utah |
| Authorized Official Name and Position | Paul Richard Swoboda (PRESIDENT) |
| Authorized Official Contact | 8013504479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Lake Family Health Cntr 1002 E South Temple 404 Salt Lake City UT 84102 Ph: (801) 350-4479 | Salt Lake Family Health Cntr 1002 E South Temple 404 Salt Lake City UT 84102 Ph: (801) 350-4479 |
| NPI Number | 1417066176 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417066176 | NPI | - | NPPES |
| 496801378020 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3560871205 (Utah) | Primary |
| 207Q00000X | Family Medicine | 27746451205 (Utah) | Secondary |
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