| Parleys Medical | |
|
2131 E 2100 S Salt Lake City UT 84109-1128 | |
| (801) 474-0355 | |
| (801) 485-8007 |
| Full Name | Parleys Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 2131 E 2100 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Sara A Wells (PRESIDENT) |
| Authorized Official Contact | 8014740355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parleys Medical 2131 E 2100 S Salt Lake City UT 84109-1128 Ph: (801) 474-0355 | Parleys Medical 2131 E 2100 S Salt Lake City UT 84109-1128 Ph: (801) 474-0355 |
| NPI Number | 1821225079 |
|---|---|
| Provider Enumeration Date | 06/15/2009 |
| Last Update Date | 03/26/2014 |
| Medicare PECOS PAC ID | 0042361735 |
|---|---|
| Medicare Enrollment ID | O20090618000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821225079 | NPI | - | NPPES |
| 528395226006 | Medicaid | UT | |
| DP8219 | Other | UT | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 953098541205 (Utah) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 953098541205 (Utah) | Secondary |
| Provider Name | Sara A Wells |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528164621 PECOS PAC ID: 4789734443 Enrollment ID: I20090618000360 |
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