| Home Clinix Utah Llc | |
|
4337 W Oxford St Cedar Hills UT 84062-8638 | |
| (801) 980-1595 | |
| Not Available |
| Full Name | Home Clinix Utah Llc |
|---|---|
| Speciality | Specialist |
| Location | 4337 W Oxford St, Cedar Hills, Utah |
| Authorized Official Name and Position | Spencer Clark (OWNER) |
| Authorized Official Contact | 8019801595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Clinix Utah Llc 4337 W Oxford St Cedar Hills UT 84062-8638 Ph: (801) 980-1595 | Home Clinix Utah Llc 4337 W Oxford St Cedar Hills UT 84062-8638 Ph: (801) 980-1595 |
| NPI Number | 1891455895 |
|---|---|
| Provider Enumeration Date | 12/19/2021 |
| Last Update Date | 08/29/2025 |
| Medicare PECOS PAC ID | 7810376977 |
|---|---|
| Medicare Enrollment ID | O20220620001418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891455895 | NPI | - | NPPES |
| Provider Name | Spencer Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245576487 PECOS PAC ID: 6002175460 Enrollment ID: I20180111000981 |
| Provider Name | Kyle Shegrud |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750921359 PECOS PAC ID: 2567872732 Enrollment ID: I20201029002997 |
| Provider Name | Eric Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851557813 PECOS PAC ID: 7618016619 Enrollment ID: I20211213002740 |
| Provider Name | Graydon Dan Larsen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730857285 PECOS PAC ID: 6305226549 Enrollment ID: I20220706003070 |
| Provider Name | Jeffrey C Harris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861131864 PECOS PAC ID: 8123400223 Enrollment ID: I20220805002747 |
| Provider Name | Justin Zamora |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255786976 PECOS PAC ID: 5991188476 Enrollment ID: I20220816002011 |
| Provider Name | Samantha Jacquelyn Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013655190 PECOS PAC ID: 7315321932 Enrollment ID: I20220831002163 |
| Provider Name | Krystal King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912383498 PECOS PAC ID: 7618283110 Enrollment ID: I20231011000985 |
| Provider Name | Spencer Coleman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073360624 PECOS PAC ID: 5294177960 Enrollment ID: I20240525000462 |
| Provider Name | Jackie Pandeya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447588488 PECOS PAC ID: 6800925710 Enrollment ID: I20241107003097 |
| Provider Name | Mckenzie Stclair |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649917386 PECOS PAC ID: 5890219430 Enrollment ID: I20250404002026 |
I Am Recovery Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3784 W Valley View Dr Ste A, Cedar Hills, UT 84062 Phone: 801-867-1515 | |
R&r Fnp Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4626 W Ferguson Way, Cedar Hills, UT 84062 Phone: 801-796-5472 Fax: 801-446-3773 |