St. Mark'S Gynecology Oncology Care Llc

LBN: St. Mark'S Gynecology Oncology Care Llc
St. Mark'S Gynecology Oncology Care Llc is an health care organization with primary practice located at 1140 E 3900 S Ste 400 , Salt Lake City UT 84124-1269. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as the primary health care specialty. St. Mark'S Gynecology Oncology Care Llc can be contacted via phone (801) 268-6811, or through Joseph, Louis via phone (615) 373-7630.

Contact Information

Primary practice address
1140 E 3900 S Ste 400 Salt Lake City UT 84124-1269
Fax: (801) 743-4736
Website:
Authorized official contact:
Name: Joseph, Louis

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X

Profile Details

NPI number 1053593921
LBN Legal business name St. Mark'S Gynecology Oncology Care Llc
DBA Doing business as
Authorized official Joseph, Louis
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2007
Last updated Aug 29th, 2023 - about last year

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 1053593921 NPPES
Utah MEDICAID 1053593921
Utah MEDICAID 1053593921
Utah MEDICAID 807953700

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