MARY M. MARTINEAU


Address: 335 E 2nd Ave Apt A, Salt Lake City, UT 84103-2626
Phone: 8014254187

MARY M. MARTINEAU (NPI# 1467830919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467830919
Entity Type Organization
Organization Name MARY M. MARTINEAU
Practice Address 335 E 2nd Ave Apt A
Salt Lake City
UT 84103-2626
Practice Telephone 8014254187
Mailing Telephone 8014254187
Enumeration Date 2015-05-15
Last Update Date 2015-05-15
Authorized Official Name MARY M MARTINEAU (SOCIAL WORKER)
Authorized Official Telephone 8014254187
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
8394257-3501 UT Ambulatory Health Care Facilities

Office Location

Street Address 335 E 2ND AVE APT A
City SALT LAKE CITY
State UT
Zip Code 84103-2626

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932509213 Paul David Rauch Specialist/Technologist 701 De Soto Street, Salt Lake City, UT 84103 2014-08-24
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1114285558 Christopher John Murphy Student in an Organized Health Care Education/Training Program 585 1st Ave, Salt Lake City, UT 84103 2012-04-23
1447573266 Peter Louis Kapelke Specialist Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 2010-03-08
1578763389 Susana Auhangamea Kinikini Nurse Practitioner Fairfax @ Virginia Street, Salt Lake City, UT 84103 2007-07-19
1609082320 Cynthia N Shumway Social Worker 580 10th Avenue, Salt Lake City, UT 84103 2007-05-16
1811010655 Kent Walker Farnsworth Obstetrics & Gynecology 1509 Federal Heights Drive, Salt Lake City, UT 84103 2007-04-09
1912082421 Eloise Agnes Maughan Nurse Practitioner 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 2006-10-25
1407968464 Kit D Smith Anesthesiology 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 2006-08-31
1396854113 Lisa H Carter Physical Therapist 1285 East Fairfax Road, Salt Lake City, UT 84103 2006-08-29
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1053764431 Olympus Family Medicine Clinic/Center 4624 S Holladay Blvd Ste 100, Salt Lake City, UT 84117-7054 2016-07-20
1316117344 Avenues To Health, LLC Clinic/Center 223 W 700 S, Suite D, Salt Lake City, UT 84101-2718 2008-03-05
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1184093924 Westech Wellness Center Clinic/Center 3605 S West Temple, Salt Lake City, UT 84115-4409 2015-09-23
1275940611 Sunnyside Pediatrics Clinic/Center 1060 E 100 S, #400, Salt Lake City, UT 84102-1501 2014-07-17
1447667217 Granger Medical Clinic, Inc. Clinic/Center 1250 E 3900 S, Suite 250, Salt Lake City, UT 84124-1348 2014-07-14
1821225079 Sara A. Wells, M.d., A Professional Corporation Clinic/Center 2131 E 2100 S, Salt Lake City, UT 84109-1128 2009-06-15
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Competitor

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City SALT LAKE CITY
Zip Code 84103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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