CARESOURCE CHARITABLE ASSOCIATION; NPI #1932656923

Contact Information

CARESOURCE CHARITABLE ASSOCIATION

750 KEARNS BLVD # 200
PARK CITY, UT 84060-5137

Phone: 801-266-7200
Fax: 801-266-7004
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for CARESOURCE CHARITABLE ASSOCIATION

NPI Number 1932656923

LBN Legal business name CARESOURCE CHARITABLE ASSOCIATION

Authorized official SHAWNTEL TANNER - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/07/2016

Last updated 11/14/2016 - About 10 years ago

Identifiers

License #

2016

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CARESOURCE CHARITABLE ASSOCIATION

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for CARESOURCE CHARITABLE ASSOCIATION

Reviews for CARESOURCE CHARITABLE ASSOCIATION