Caresource Senior Supportive Care Center

LBN: Caresource
Caresource Senior Supportive Care Center is an health care organization with primary practice located at 1624 E 4500 S , Salt Lake City UT 84117-4212. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Caresource can be contacted via phone (801) 266-7200, or through Tanner, Shawntel via phone (801) 266-7200.

Contact Information

Primary practice address
1624 E 4500 S Salt Lake City UT 84117-4212
Phone: (801) 266-7200
Fax: (801) 266-7004
Website:
Map and Directions
Authorized official contact:
Name: Tanner, Shawntel Master of Arts (MA)
Phone: (801) 266-7200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5221090-1205 Utah
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 5221090-1205 Utah

Profile Details

NPI number 1124242128
LBN Legal business name Caresource
DBA Doing business as Caresource Senior Supportive Care Center
Authorized official Tanner, Shawntel Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 22nd, 2020 - about 4 years 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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