| Sacred Circle Health Care | |
|
660 S 200 E Ste 250 Salt Lake City UT 84111-3846 | |
| (801) 359-2256 | |
| (801) 364-4392 |
| Full Name | Sacred Circle Health Care |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 660 S 200 E Ste 250, Salt Lake City, Utah |
| Authorized Official Name and Position | Virgil W Johnson (COUNCIL CHAIR) |
| Authorized Official Contact | 8018984814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Circle Health Care Hc 61 Box 6104 Ibapah UT 84034-6003 Ph: (801) 359-2256 | Sacred Circle Health Care 660 S 200 E Ste 250 Salt Lake City UT 84111-3846 Ph: (801) 359-2256 |
| NPI Number | 1003275280 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003275280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 9453799-8906 (Utah) | Primary |
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