Maplewood Medical

LBN: Centerville Medical Center
Maplewood Medical is an health care organization with primary practice located at 6783 S Redwood Rd Suite 104, West Jordan UT 84084-5677. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Centerville Medical Center can be contacted via phone (801) 268-2929, or through Park, Robert E via phone (801) 298-7330.

Contact Information

Primary practice address
6783 S Redwood Rd Suite 104 West Jordan UT 84084-5677
Fax: (801) 268-0198
Website:
Authorized official contact:
Name: Park, Robert E Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X Utah

Profile Details

NPI number 1205187325
LBN Legal business name Centerville Medical Center
DBA Doing business as Maplewood Medical
Authorized official Park, Robert E Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 28th, 2012
Last updated Feb 27th, 2014 - about 10 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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