| Bountiful Treatment Center | |
|
763 W 700 S Ste B Woods Cross UT 84087-1438 | |
| (801) 292-2318 | |
| (801) 292-2578 |
| Full Name | Bountiful Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 763 W 700 S Ste B, Woods Cross, Utah |
| Authorized Official Name and Position | Maria Jackson (CFO) |
| Authorized Official Contact | 4073517080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bountiful Treatment Center 2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 Ph: (407) 351-7080 | Bountiful Treatment Center 763 W 700 S Ste B Woods Cross UT 84087-1438 Ph: (801) 292-2318 |
| NPI Number | 1124234448 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 11/04/2022 |
| Certification Date | 03/04/2021 |
| Medicare PECOS PAC ID | 3577997915 |
|---|---|
| Medicare Enrollment ID | O20191218001303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124234448 | NPI | - | NPPES |
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