<Unavail>

LBN: Caresource
<Unavail> is an health care organization with primary practice located at 750 Kearns Blvd. #200 , Park City UT 84060. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Caresource can be contacted via phone (801) 266-7200, or through Tanner, Shawntel Elizabeth via phone (801) 266-7200.

Contact Information

Primary practice address
750 Kearns Blvd. #200 Park City UT 84060
Phone: (801) 266-7200
Fax: (801) 266-7004
Website:
Map and Directions
Authorized official contact:
Name: Tanner, Shawntel Elizabeth Master of Arts (MA)
Phone: (801) 266-7200

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 2006-HHA-912 Utah

Profile Details

NPI number 1902861693
LBN Legal business name Caresource
DBA Doing business as <Unavail>
Authorized official Tanner, Shawntel Elizabeth Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Nov 14th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902861693 NPPES
Utah Other HT005376-001 TRADING PARTNER NUMBER

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