| Wasatch Senior And Family Care Llc | |
|
544 E 1200 S Heber City UT 84032-4497 | |
| (435) 400-1051 | |
| Not Available |
| Full Name | Wasatch Senior And Family Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 544 E 1200 S, Heber City, Utah |
| Authorized Official Name and Position | Michael James Farrell (SOLE MEMBER) |
| Authorized Official Contact | 4354001051 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Senior And Family Care Llc Po Box 307 Bountiful UT 84011-0307 Ph: (801) 294-6907 | Wasatch Senior And Family Care Llc 544 E 1200 S Heber City UT 84032-4497 Ph: (435) 400-1051 |
| NPI Number | 1255981643 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 10/14/2022 |
| Medicare PECOS PAC ID | 3476985888 |
|---|---|
| Medicare Enrollment ID | O20191122001558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255981643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael J Farrell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619264397 PECOS PAC ID: 8224270426 Enrollment ID: I20180207001153 |
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