NPI 1902476120

Healthcare Pi

Organisation Supports Brokerage Agency Cottonwood Heights, UT

Practice location

Address: 1515 E Fort Union Blvd, Cottonwood Heights, UT 84121-2855
Phone: (801) 478-0770
Fax: (801) 478-0779

Authorised official

Name: Pedro Lira
Title: Healthcare Administrator
Phone: (801) 755-7181

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

Other Supports Brokerage providers in Utah →

Registry record

NPI: 1902476120
Entity type: Organization
NPI issued: 29 Jun 2021
Record last updated: 29 Jun 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.