| Jordan River Family Medicine | |
|
1868 W 9800 S Ste 100 South Jordan UT 84095-4713 | |
| (801) 433-2873 | |
| (801) 433-5734 |
| Full Name | Jordan River Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1868 W 9800 S Ste 100, South Jordan, Utah |
| Authorized Official Name and Position | Janice Allred (MANAGER) |
| Authorized Official Contact | 8012858848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan River Family Medicine 1868 W 9800 S Ste 100 South Jordan UT 84095-4713 Ph: (801) 433-2873 | Jordan River Family Medicine 1868 W 9800 S Ste 100 South Jordan UT 84095-4713 Ph: (801) 433-2873 |
| NPI Number | 1346947058 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Medicare PECOS PAC ID | 3678948312 |
|---|---|
| Medicare Enrollment ID | O20230411000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346947058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Tessa Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285260232 PECOS PAC ID: 4587039227 Enrollment ID: I20230411000450 |
Gustavo Velasquez MD Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4377 W Vermillion Dr, South Jordan, UT 84009 Phone: 801-302-7798 |
C Hung Gee Pa-c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1868 W 9800 S Ste 100, South Jordan, UT 84095 Phone: 801-433-2873 Fax: 801-433-5734 |
University of Utah Hospitals and Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-213-4500 |
Utah Wellness Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1664 W Towne Center Dr Ste D, South Jordan, UT 84095 Phone: 801-495-4444 Fax: 801-495-4444 |
Pinnacle Medical Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 W South Jordan Pkwy Ste 450, South Jordan, UT 84095 Phone: 801-919-3008 Fax: 801-960-1780 |
Andrew Robinson D O LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1868 W 9800 S Ste 100, South Jordan, UT 84095 Phone: 801-433-2873 Fax: 801-433-5734 |