ADULT CARE CLINIC INC NPI 1487042537

NPI Information

NPI: 1487042537
Provider Name: ADULT CARE CLINIC INC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
3920 S 1100 E STE 250
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 308-8400
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ADULT CARE CLINIC INC is an acute care nurse practitioner in Salt Lake City, UT. ADULT CARE CLINIC INC NPI is 1487042537. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3920 S 1100 E STE 250
SALT LAKE CITY, UT
ZIP 84124-213
Phone: (801) 308-8400
Fax: (801) 349-2849

The provider's authorized official is Gitanjali Sharma .
The authorized official title is Owner and has the following contact phone number (801) 318-2624.

The enumeration date for this NPI number is 12/23/2014 and was last updated on 3/14/2016.

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	363LA2100X	Nurse Practitioner	Acute Care	5660172-4405	UTAH	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U000088701	MEDICARE PIN	UTAH

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: 11/14/2023

NPI Synchronization or Removal

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