Granite Wellness Center

LBN: Premise Health Of Utah Medical, P.C
Granite Wellness Center is an health care organization with primary practice located at 4163 S 3200 W , West Valley City UT 84119-5128. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Premise Health Of Utah Medical, P.C can be contacted via phone (801) 964-9355, or through Leizman, Jon via phone (216) 479-9063.

Contact Information

Primary practice address
4163 S 3200 W West Valley City UT 84119-5128
Phone: (801) 964-9355
Fax: (801) 967-2692
Website:
Map and Directions
Authorized official contact:
Name: Leizman, Jon Doctor of Medicine (MD)
Phone: (216) 479-9063

Health care specialties

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

Profile Details

NPI number 1063986800
LBN Legal business name Premise Health Of Utah Medical, P.C
DBA Doing business as Granite Wellness Center
Authorized official Leizman, Jon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2019
Last updated Aug 24th, 2022 - about 2 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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