BRC OUTPATIENT LLC NPI 1194260810

NPI Information

  • NPI: 1194260810
  • Provider Name: BRC OUTPATIENT LLC
  • Classification: Clinic/Center - 261QR0401X
  • Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Entity Type: Organization
  • Address: 4905 S 900 E
    SALT LAKE CITY, UT
    ZIP 84117
  • Phone: (801) 869-1095

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NPI Details

BRC OUTPATIENT LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Salt Lake City, UT. BRC OUTPATIENT LLC NPI is 1194260810. The provider is registered as an organization entity type.

The provider's business location address is:

4905 S 900 E
SALT LAKE CITY, UT
ZIP 84117-703
Phone: (801) 869-1095
Fax: (801) 869-1096

The provider's authorized official is Jonathan Saul .
The authorized official title is Executive Director and has the following contact phone number (801) 849-0453.

The enumeration date for this NPI number is 1/4/2017 and was last updated on 6/26/2020.

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
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)36133UTAHYes

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: 3/30/2025

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