| Vitalcare Health Services Pc | |
|
3079 N 3550 W Lehi UT 84043-7514 | |
| (505) 320-9952 | |
| Not Available |
| Full Name | Vitalcare Health Services Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3079 N 3550 W, Lehi, Utah |
| Authorized Official Name and Position | Chanceq Basinger (MANAGER) |
| Authorized Official Contact | 5053209952 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalcare Health Services Pc 3079 N 3550 W Lehi UT 84043-7514 Ph: (505) 320-9952 | Vitalcare Health Services Pc 3079 N 3550 W Lehi UT 84043-7514 Ph: (505) 320-9952 |
| NPI Number | 1235954389 |
|---|---|
| Provider Enumeration Date | 11/22/2024 |
| Last Update Date | 07/26/2025 |
| Medicare PECOS PAC ID | 2264961861 |
|---|---|
| Medicare Enrollment ID | O20250128001818 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235954389 | NPI | - | NPPES |
| Provider Name | Clarivette Bosch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245320860 PECOS PAC ID: 0749254381 Enrollment ID: I20040820000486 |
| Provider Name | April Cundall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255846424 PECOS PAC ID: 0244598845 Enrollment ID: I20180102001587 |
| Provider Name | Josie Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265164040 PECOS PAC ID: 9234511437 Enrollment ID: I20220804002059 |
| Provider Name | Lindsey Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881047967 PECOS PAC ID: 5193099463 Enrollment ID: I20220922000950 |
| Provider Name | Jesse Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447942370 PECOS PAC ID: 3173982667 Enrollment ID: I20230630001156 |
| Provider Name | Tiffanee Rae Cravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720855927 PECOS PAC ID: 6608227657 Enrollment ID: I20240104000664 |
| Provider Name | Bryan Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790542710 PECOS PAC ID: 7719326529 Enrollment ID: I20240412002015 |
| Provider Name | Jasmine Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013681246 PECOS PAC ID: 3476943481 Enrollment ID: I20250421001216 |
| Provider Name | Rachel Denita Margeson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356031090 PECOS PAC ID: 4183142219 Enrollment ID: I20250513001764 |
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