| Bateman Horne Center Of Excellence Inc | |
|
1002 E South Temple Ste 408 Salt Lake City UT 84102-1571 | |
| (801) 359-7400 | |
| (801) 359-7400 |
| Full Name | Bateman Horne Center Of Excellence Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1002 E South Temple Ste 408, Salt Lake City, Utah |
| Authorized Official Name and Position | Lucinda Bateman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8013597400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bateman Horne Center Of Excellence Inc 1002 E South Temple Ste 408 Salt Lake City UT 84102-1571 Ph: (801) 359-7400 | Bateman Horne Center Of Excellence Inc 1002 E South Temple Ste 408 Salt Lake City UT 84102-1571 Ph: (801) 359-7400 |
| NPI Number | 1578931879 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 09/03/2015 |
| Medicare PECOS PAC ID | 7618287731 |
|---|---|
| Medicare Enrollment ID | O20151102001798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578931879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Sherlock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629230669 PECOS PAC ID: 6103817804 Enrollment ID: I20040520001604 |
| Provider Name | Joyce C Ferrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811107261 PECOS PAC ID: 2567512171 Enrollment ID: I20090602000451 |
| Provider Name | Lucinda Bateman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346210267 PECOS PAC ID: 6709928641 Enrollment ID: I20100115000208 |
| Provider Name | Brayden Paul Yellman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194011841 PECOS PAC ID: 5890081574 Enrollment ID: I20160906002059 |
| Provider Name | Jennifer O Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184726911 PECOS PAC ID: 6507810322 Enrollment ID: I20211006000006 |
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