SAVANNAH HEALTH GROUP LLC NPI 1750875183

NPI Information

NPI: 1750875183
Provider Name: SAVANNAH HEALTH GROUP LLC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
4035 S 500 E
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 262-9181
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SAVANNAH HEALTH GROUP LLC is a gerontology nurse practitioner in Salt Lake City, UT. SAVANNAH HEALTH GROUP LLC NPI is 1750875183. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4035 S 500 E
SALT LAKE CITY, UT
ZIP 84107-866
Phone: (801) 262-9181
Fax: (813) 336-8463

The provider's authorized official is Edwin O Awinda .
The authorized official title is Sole Member and has the following contact phone number (801) 941-4034.

The enumeration date for this NPI number is 6/19/2018 and was last updated on 10/2/2020.

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	363L00000X	Nurse Practitioner				No
2	363LG0600X	Nurse Practitioner	Gerontology			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: 11/14/2023

NPI Synchronization or Removal

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