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PHYSICIAN HOME CARE OF UTAHL.C. NPI 1326148073


NPI Information

NPI: 1326148073
Provider Name: PHYSICIAN HOME CARE OF UTAH,L.C.
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
6886 HOLLOW MILL DR
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 944-0095
Get Directions

PHYSICIAN HOME CARE OF UTAH,L.C. is a geriatric medicine family medicine in Salt Lake City, UT. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. PHYSICIAN HOME CARE OF UTAH,L.C. NPI is 1326148073. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6886 HOLLOW MILL DR
SALT LAKE CITY, UT
ZIP 84121-322
Phone: (801) 944-0095

The provider's authorized official is John R Dietlein .
The authorized official title is Medical Director and has the following contact phone number (801) 944-0095.

The enumeration date for this NPI number is 9/23/2006 and was last updated on 10/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric Medicine169963-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1530429522033MEDICAIDUTAH
2C46614MEDICARE UPINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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