| Integrated Clinix | |
|
4337 W Oxford St Cedar Hills UT 84062-8638 | |
| (801) 822-1880 | |
| (801) 692-1595 |
| Full Name | Integrated Clinix |
|---|---|
| Speciality | Clinic/Center |
| Location | 4337 W Oxford St, Cedar Hills, Utah |
| Authorized Official Name and Position | Spencer Cark (OWNER) |
| Authorized Official Contact | 8018221880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Clinix 4337 W Oxford St Cedar Hills UT 84062-8638 Ph: (801) 822-1880 | Integrated Clinix 4337 W Oxford St Cedar Hills UT 84062-8638 Ph: (801) 822-1880 |
| NPI Number | 1659931384 |
|---|---|
| Provider Enumeration Date | 06/14/2019 |
| Last Update Date | 04/29/2021 |
| Certification Date | 04/29/2021 |
| Medicare PECOS PAC ID | 0941636872 |
|---|---|
| Medicare Enrollment ID | O20200212001248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659931384 | NPI | - | NPPES |
| Provider Name | James L Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194731323 PECOS PAC ID: 9133151756 Enrollment ID: I20050903000010 |
| Provider Name | Cynthia Lynn Hazelwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922242262 PECOS PAC ID: 2163578436 Enrollment ID: I20090929000311 |
| Provider Name | Spencer Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245576487 PECOS PAC ID: 6002175460 Enrollment ID: I20180111000981 |
| Provider Name | David Matthew Graff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144635038 PECOS PAC ID: 9537424361 Enrollment ID: I20180529002189 |
| Provider Name | Daniel Lewis Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912519117 PECOS PAC ID: 2668890765 Enrollment ID: I20200921003000 |
| Provider Name | Colby Jon Groneman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851891006 PECOS PAC ID: 2365850005 Enrollment ID: I20210420000258 |
| Provider Name | Eric Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851557813 PECOS PAC ID: 7618016619 Enrollment ID: I20211213002740 |
| Provider Name | Andrew Griner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386370955 PECOS PAC ID: 9335521343 Enrollment ID: I20231110002252 |
Rehab Mobility Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4337 W Oxford St, Cedar Hills, UT 84062 Phone: 801-822-1880 | |
Integrated Clinix Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4337 W Oxford St, Cedar Hills, UT 84062 Phone: 801-822-1880 Fax: 801-692-1595 |