Complete Care Clinic Pllc

LBN: Complete Care Clinic Pllc
Complete Care Clinic Pllc is an health care organization with primary practice located at 15 N 100 E , Tooele UT 84074-2101. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Complete Care Clinic Pllc can be contacted via phone (435) 882-6618, or through Satter, Paul Anthony via phone (435) 882-6618.

Contact Information

Primary practice address
15 N 100 E Tooele UT 84074-2101
Phone: (435) 882-6618
Fax: (435) 843-3774
Website:
Map and Directions
Authorized official contact:
Name: Satter, Paul Anthony Doctor of Medicine (MD)
Phone: (435) 882-6618

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 2807191205 Utah

Profile Details

NPI number 1639196710
LBN Legal business name Complete Care Clinic Pllc
DBA Doing business as
Authorized official Satter, Paul Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated May 27th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639196710 NPPES
Utah MEDICAID 261517430001

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