MEDICRUISER LLC NPI 1386893303

NPI Information

NPI: 1386893303
Provider Name: MEDICRUISER, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1850 S 300 W
STE A
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 484-5504
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MEDICRUISER, LLC is a primary care clinic center in Salt Lake City, UT. MEDICRUISER, LLC NPI is 1386893303. The provider is registered as an organization entity type.

The provider's business location address is:

1850 S 300 W
STE A
SALT LAKE CITY, UT
ZIP 84115-398
Phone: (801) 484-5504
Fax: (801) 484-5538

The provider's authorized official is Paul M Gahlinger .
The authorized official title is Ceo/doctor and has the following contact phone number (801) 484-5504.

The enumeration date for this NPI number is 9/15/2008 and was last updated on 10/21/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 5/5/2024

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