| Valley Behavioral Health | |
|
4460 S Highland Dr Ste 300 Salt Lake City UT 84124-3562 | |
| (801) 273-6580 | |
| (801) 263-7203 |
| Full Name | Valley Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 4460 S Highland Dr Ste 300, Salt Lake City, Utah |
| Authorized Official Name and Position | Jared Sanford (PRESIDENT AND CEO) |
| Authorized Official Contact | 8889494864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Behavioral Health 4460 S Highland Dr Ste 300 Salt Lake City UT 84124-3562 Ph: (801) 273-6580 | Valley Behavioral Health 4460 S Highland Dr Ste 300 Salt Lake City UT 84124-3562 Ph: (801) 273-6580 |
| NPI Number | 1780182683 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 10/11/2022 |
| Medicare PECOS PAC ID | 1658701156 |
|---|---|
| Medicare Enrollment ID | O20200424000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780182683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 50600A (Utah) | Primary |
| Provider Name | Mark L Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508861964 PECOS PAC ID: 7911942909 Enrollment ID: I20050621000457 |
| Provider Name | Clare D Eggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568725760 PECOS PAC ID: 1153571070 Enrollment ID: I20121030000154 |
| Provider Name | Kirsten Leah Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336175967 PECOS PAC ID: 0042523573 Enrollment ID: I20170728003289 |
| Provider Name | Archana A Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659925915 PECOS PAC ID: 4981035144 Enrollment ID: I20200504002107 |
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