Carissa Mora-Rodriguez

LBN: Carissa Mora-Rodriguez
Carissa Mora-Rodriguez is an health care organization with primary practice located at 415 E Woodlake Ln #152, Salt Lake City UT 84107-1990. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Carissa Mora-Rodriguez can be contacted via phone (801) 556-8064, or through Mora-Rodriguez, Carissa via phone (801) 556-8064.

Contact Information

Primary practice address
415 E Woodlake Ln #152 Salt Lake City UT 84107-1990
Phone: (801) 556-8064
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mora-Rodriguez, Carissa
Phone: (801) 556-8064

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1629504642
LBN Legal business name Carissa Mora-Rodriguez
DBA Doing business as
Authorized official Mora-Rodriguez, Carissa
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2017
Last updated May 11th, 2017 - about 7 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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