NPI 1376136457

Wellness Bridge Group

Organisation Health Maintenance Organization Spanish Fork, UT

Practice location

Address: 994 Expressway Ln, Spanish Fork, UT 84660-1384
Phone: (385) 685-8566
Mailing address: 752 S Willow Ln, Mapleton, UT 84664-5618

Authorised official

Name: Paul Jarred Freeman
Title: Director
Phone: (385) 685-8566

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1376136457
Entity type: Organization
NPI issued: 18 Feb 2021
Record last updated: 18 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.