| Conti-care, Llc | |
|
1495 N 200 W Orem UT 84057-2626 | |
| (801) 361-6038 | |
| (801) 764-9393 |
| Full Name | Conti-care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1495 N 200 W, Orem, Utah |
| Authorized Official Name and Position | Laura C. Maw (NURSE PRACTITIONER) |
| Authorized Official Contact | 8013616038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conti-care, Llc 1495 N 200 W Orem UT 84057-2626 Ph: (801) 361-6038 | Conti-care, Llc 1495 N 200 W Orem UT 84057-2626 Ph: (801) 361-6038 |
| NPI Number | 1255533238 |
|---|---|
| Provider Enumeration Date | 06/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1658471164 |
|---|---|
| Medicare Enrollment ID | O20070713000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255533238 | NPI | - | NPPES |
| 529967696002 | Medicaid | UT | |
| 21383844001001 | Other | UT | BXBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 213838-4405 (Utah) | Primary |
| Provider Name | Laura C Maw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982661039 PECOS PAC ID: 3971592585 Enrollment ID: I20040510000444 |
| Provider Name | Frederick J Dressen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932159100 PECOS PAC ID: 4880504240 Enrollment ID: I20140306001012 |
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