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Contact Information

MEDICRUISER ONSITE CARE
225 10TH AVE
SALT LAKE CITY, UT84103-2529
 Phone: 801-484-5504
 Fax: 801-484-5538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MEDICRUISER ONSITE CARE

NPI Number 1710245402
LBN Legal business name MEDICRUISER ONSITE CARE
Authorized official PAUL GAHLINGER - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/01/2012
Last updated 02/28/2013 - About 13 years ago
Identifiers
UT License # 97-339160-1205
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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