| Sundara Mhs Llc | |
|
14629 S Porter Rockwell Blvd Bluffdale UT 84065 | |
| (801) 410-1100 | |
| Not Available |
| Full Name | Sundara Mhs Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 14629 S Porter Rockwell Blvd, Bluffdale, Utah |
| Authorized Official Name and Position | Tamara Broadhead (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8173199475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundara Mhs Llc 7533 S Center View Ct Ste N West Jordan UT 84084-5526 Ph: () - | Sundara Mhs Llc 14629 S Porter Rockwell Blvd Bluffdale UT 84065 Ph: (801) 410-1100 |
| NPI Number | 1730924580 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730924580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Illuminate Holdings Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14884 S Heritagecrest Way Ste D, Bluffdale, UT 84065 Phone: 801-793-0620 | |
Families First Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13825 S Redwood Road, Suite 100, Bluffdale, UT 84065 Phone: 801-254-9700 Fax: 801-254-9755 | |
Sundara Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14629 S Porter Rockwell Blvd, Bluffdale, UT 84065 Phone: 801-410-1100 |