| Coe Medical Intermountain PLLC | |
|
7101 N Mesa Street #365 Salt Lake City UT 84101-1603 | |
| (830) 267-4575 | |
| (830) 267-4575 |
| Full Name | Coe Medical Intermountain PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 7101 N Mesa Street #365, Salt Lake City, Utah |
| Authorized Official Name and Position | Laura Givens (OWNER) |
| Authorized Official Contact | 9038064181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coe Medical Intermountain PLLC 215 W Bandera Rd Ste 114-440 Boerne TX 78006-3571 Ph: (903) 806-4181 | Coe Medical Intermountain PLLC 7101 N Mesa Street #365 Salt Lake City UT 84101-1603 Ph: (830) 267-4575 |
| NPI Number | 1467097071 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 09/02/2026 |
| Certification Date | 09/02/2026 |
| Medicare PECOS PAC ID | 2466880851 |
|---|---|
| Medicare Enrollment ID | O20200318001146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467097071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Grant a J Needham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699870899 PECOS PAC ID: 8123093671 Enrollment ID: I20040830000196 |
| Provider Name | Laura Givens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902957046 PECOS PAC ID: 0345290847 Enrollment ID: I20200318001213 |
| Provider Name | Jesus Aranda-cano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003106543 PECOS PAC ID: 5496932469 Enrollment ID: I20200825002076 |
| Provider Name | Madisen Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689155764 PECOS PAC ID: 0547508525 Enrollment ID: I20221216002659 |
| Provider Name | Dana Peeples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659252088 PECOS PAC ID: 5991292682 Enrollment ID: I20251211000000 |
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