<unavail> in West Valley City, UT - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in West Valley City, Utah. The current practice location for is 1264 Village Main Dr Unit A, West Valley City, Utah. For appointments, you can reach them via phone at (801) 972-0393. The mailing address for is 1264 Village Main Dr Unit A, West Valley City, Utah and phone number is (801) 972-0393.

is licensed to practice in Utah (license number 6790232-1202). The clinic also participates in the medicare program and its NPI number is 1639356884. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (801) 972-0393.

Contact Information


	1264 Village Main Dr Unit A West Valley City UT 84119-1952
	(801) 972-0393
	(801) 972-5707

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1264 Village Main Dr Unit A, West Valley City, Utah
Authorized Official Name and Position	Michael R Frogley (OWNER)
Authorized Official Contact	8019720393
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1264 Village Main Dr Unit A West Valley City UT 84119-1952 Ph: (801) 972-0393	1264 Village Main Dr Unit A West Valley City UT 84119-1952 Ph: (801) 972-0393

NPI Details:

NPI Number	1639356884
Provider Enumeration Date	01/29/2008
Last Update Date	02/18/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	2264515048
Medicare Enrollment ID	O20080218000225

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639356884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	6790232-1202 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Steven C Lore
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1922090356 PECOS PAC ID: 0042289936 Enrollment ID: I20040928000526

Provider Name	Michael R Frogley
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1316126741 PECOS PAC ID: 6709968803 Enrollment ID: I20080129000192

Reviews and Comments

Clinic/Center in West Valley City, UT

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Healing Center Of Utah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2630 W 3500 S Ste B, West Valley City, UT 84119 Phone: 801-955-8888 Fax: 801-955-8889

- Medicare Primary Care in West Valley City, UT