South Valley Health Center, Llc in West Jordan - Parenteral & Enteral Nutrition

South Valley Health Center, Llc - NPI 1780638759

South Valley Health Center, Llc is a Parenteral & Enteral Nutrition in West Jordan, Utah. South Valley Health Center, Llc practices all healthcare services and medical treatments related to Parenteral & Enteral Nutrition. The NPI Number for South Valley Health Center, Llc is 1780638759. The last update date is 2008-01-17.

South Valley Health Center, Llc's current location address is 3706 W 9000 S, West Jordan, Utah. You can contact this provider via phone number 8012802273 and fax number 8012802285. The mailing address for South Valley Health Center, Llc is 3706 W 9000 S, West Jordan, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Valley Health Center, Llc
Address 3706 W 9000 S, West Jordan, Utah
Phone Number 8012802273
Fax Number 8012802285
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEMBER
Authorized Official Name Johnson R Craig
Telephone Number 8012681122

NPI Number Detail

NPI Number 1780638759
Provider Enumeration Date 2006-05-22
Last Updated Date 2008-01-17

Provider Mailing Address Detail

Address 3706 W 9000 S
City West Jordan
State Utah (UT)
Post Code 840888813
Phone Number 8012802273
Fax Number 8012802285

Provider's Primary Taxonomy Detail

Speciality Parenteral & Enteral Nutrition
Taxonomy 332Bp3500X
Licence No 2007-NCF-83
Definition:
Durable medical equipment and supplies for tube feeding and intravenous nutritional support prescribed by providers.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
870439756007 UT --

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FAQs about South Valley Health Center, Llc

What is the unique 10-digit identifier code issued to South Valley Health Center, Llc by the Centers for Medicare & Medicaid Services?

The South Valley Health Center, Llc has been assigned the NPI (National Provider Identifier) 1780638759 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where South Valley Health Center, Llc is geographically located?

The South Valley Health Center, Llc is physically situated at the following location: 3706 W 9000 S, West Jordan, UT, 840888813.

What is South Valley Health Center, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for South Valley Health Center, Llc is Parenteral & Enteral Nutrition, and the corresponding taxonomy classification code for this specialized field is 332Bp3500X.

On what date did South Valley Health Center, Llc receive its 1780638759 assignment from the Centers for Medicare & Medicaid Services?

The South Valley Health Center, Llc was assigned its 1780638759 on 2006-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to South Valley Health Center, Llc last refreshed?

The information related to the South Valley Health Center, Llc, including its address, specialty, and other relevant details, was last updated on 2008-01-17.

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