MEDICRUISER ONSITE CARE NPI 1710245402

NPI Information

  • NPI: 1710245402
  • Provider Name: MEDICRUISER ONSITE CARE
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 225 10TH AVE
    SALT LAKE CITY, UT
    ZIP 84103
  • Phone: (801) 484-5504

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NPI Details

MEDICRUISER ONSITE CARE 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. MEDICRUISER ONSITE CARE NPI is 1710245402. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

225 10TH AVE
SALT LAKE CITY, UT
ZIP 84103-529
Phone: (801) 484-5504
Fax: (801) 484-5538

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

The enumeration date for this NPI number is 5/1/2012 and was last updated on 2/28/2013.

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
1207QG0300XFamily MedicineGeriatric Medicine97-339160-1205UTAHYes

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: 11/21/2025

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