NPI 1396107348

Rising Health Specialty Center

Organisation Exclusive Provider Organization Salt Lake City, UT

Practice location

Address: 3018 E 3300 S, Salt Lake City, UT 84109-2144
Phone: (801) 419-0705
Fax: (801) 606-7902

Authorised official

Name: Terah Jones
Title: Owner
Phone: (801) 671-5486

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 68732024405 (UT)

Other Exclusive Provider Organization providers in Utah →

Registry record

NPI: 1396107348
Entity type: Organization
NPI issued: 28 Mar 2016
Record last updated: 28 Mar 2016

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.