Caresource in Salt Lake City - Family Medicine

Caresource - NPI 1124242128

Caresource is a Family Medicine in Salt Lake City, Utah. Caresource practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Caresource is 1124242128. The last update date is 2020-08-22.

Caresource's current location address is 1624 E 4500 S, Salt Lake City, Utah. You can contact this provider via phone number 8012667200 and fax number 8012667004. The mailing address for Caresource is 1624 E 4500 S, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Caresource
Address 1624 E 4500 S, Salt Lake City, Utah
Phone Number 8012667200
Fax Number 8012667004
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Tanner Shawntel
Credentials MA
Telephone Number 8012667200

NPI Number Detail

NPI Number 1124242128
Provider Enumeration Date 2007-04-12
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1624 E 4500 S
City Salt Lake City
State Utah (UT)
Post Code 841174212
Phone Number 8012667200
Fax Number 8012667004

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 5221090-1205
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Caresource

What is the unique 10-digit identifier code assigned to Caresource by the Centers for Medicare & Medicaid Services?

The Caresource has been issued the NPI (National Provider Identifier) 1124242128 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Caresource?

The Caresource is physically situated at 1624 E 4500 S, in the city of Salt Lake City, state of UT, with the postal code 841174212.

What is the area of specialization for Caresource, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Caresource is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date did the Caresource receive its 1124242128 assignment from the Centers for Medicare & Medicaid Services?

The Caresource was assigned its 1124242128 by the Centers for Medicare & Medicaid Services on 2007-04-12.

When was the information related to Caresource most recently updated or refreshed?

The details pertaining to the Caresource, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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