Survivor Healthcare

LBN: Cancer Survivor Health Network, L.L.C.
Survivor Healthcare is an health care organization with primary practice located at 2486 East Emerson Avenue , Salt Lake City UT 84108. The organization recently has 9 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Health Educator, Allopathic & Osteopathic Physicians / Clinical Informatics, Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Oncology, Other Service Providers / Prevention Professional. Allopathic & Osteopathic Physicians / Clinical Informatics is the primary health care specialty. Cancer Survivor Health Network, L.L.C. can be contacted via phone (801) 754-6051, or through Gentile, Jessica via phone (801) 754-6051.

Contact Information

Primary practice address
2486 East Emerson Avenue Salt Lake City UT 84108
Phone: (801) 754-6051
Fax: (801) 210-0476
Website:
Map and Directions
Authorized official contact:
Name: Gentile, Jessica
Phone: (801) 754-6051

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Health Educator 174H00000X
Allopathic & Osteopathic Physicians / Clinical Informatics 2083C0008X
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Oncology 261QX0200X
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X
Other Service Providers / Prevention Professional 405300000X

Profile Details

NPI number 1114446168
LBN Legal business name Cancer Survivor Health Network, L.L.C.
DBA Doing business as Survivor Healthcare
Authorized official Gentile, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2017
Last updated Mar 14th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114446168 NPPES
Utah MEDICAID 1164852224

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