Mmtc

LBN: Mmtc
Mmtc is an health care organization with primary practice located at 1411 W 1100 N , Salt Lake City UT 84116-1634. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mmtc can be contacted via phone (801) 425-2679, or through Chengappa, Katherine Rose via phone (801) 425-2679.

Contact Information

Primary practice address
1411 W 1100 N Salt Lake City UT 84116-1634
Phone: (801) 425-2679
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chengappa, Katherine Rose SSW
Phone: (801) 425-2679

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1689139198
LBN Legal business name Mmtc
DBA Doing business as
Authorized official Chengappa, Katherine Rose SSW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2019
Last updated Feb 8th, 2019 - about 6 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 1689139198 NPPES
Utah MEDICAID 1093173510

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