EDGE MEDICAL SERVICES (NPI# 1528418589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528418589 |
| Entity Type | Organization |
| Organization Name | EDGE MEDICAL SERVICES |
| Practice Address |
770 E South Temple Ste 100 Salt Lake City UT 84102-1689 |
| Mailing Address |
1141 N Loop 1604 E # 105187 San Antonio TX 78232-1339 |
| Practice Telephone | 8003484623 |
| Mailing Telephone | 8003484623 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | EARL WILLIAM (OFFICE STAFF) |
| Authorized Official Telephone | 8003484623 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDGE MEDICAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477070555 | Edge Medical Services | Clinic/Center | 881 Terrace 49, Los Angeles, CA 90042-3149 | 2017-08-29 |
| 1851818934 | Edge Medical Services | Clinic/Center | 23548 Lyons Ave Ste B, Newhall, CA 91321-5782 | 2017-08-29 |
| 1609307529 | Edge Medical Services | Clinic/Center | 617 N 17th St Ste 200, Colorado Springs, CO 80904-3580 | 2017-03-22 |
| 1457891418 | Edge Medical Services | Clinic/Center | W4456 Highway 63, Springbrook, WI 54875-9421 | 2017-02-24 |
| 1063951176 | Edge Medical Services | Clinic/Center | 2406 Hughitt Ave, Superior, WI 54880-4944 | 2017-02-22 |
| 1477091783 | Edge Medical Services | Clinic/Center | 8720 Anglewood Ct, Colorado Springs, CO 80920-5347 | 2017-02-07 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1205372935 | Edge Medical Services | Clinic/Center | 8976 Jenkins Rd, Cotton, MN 55724-8017 | 2017-01-19 |
| 1407307994 | Edge Medical Services | Clinic/Center | 1845 Rd 604, Farmersville, TX 75442-6605 | 2016-10-19 |
| 1003367681 | Edge Medical Services | Clinic/Center | 545 S 670 E, Orem, UT 84097-6453 | 2016-10-19 |
| Street Address |
770 E SOUTH TEMPLE STE 100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699041723 | Omega Wellness Institute, LLC | Clinical Medical Laboratory | 770 E South Temple Ste 100, Salt Lake City, UT 84102-1689 | 2012-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194260810 | Brc Outpatient LLC | Clinic/Center | 4905 S 900 E, Salt Lake City, UT 84117-5703 | 2017-01-04 |
| 1417399957 | Paramount Healthcare, LLC | Clinic/Center | 3540 S Main St, Salt Lake City, UT 84115-4435 | 2013-07-25 |
| 1851533947 | Precision Health Services | Clinic/Center | 4885 S 900 E, Suite 107, Salt Lake City, UT 84117-5746 | 2009-04-03 |
| 1184828816 | Precision Health Services | Clinic/Center | 4885 S 900 E Ste 107, Salt Lake City, UT 84117-3905 | 2007-06-14 |
| 1508813650 | Navitas Utah, LLC | Clinic/Center | 3838 S 700 E, Suite 300, Salt Lake City, UT 84106-1466 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866740 | Team Recovery | Clinic/Center | 2600 N Main St Ste 204, North Logan, UT 84341-1510 | 2019-11-19 |
| 1285113472 | North Star Center, LLC. | Clinic/Center | 254 S State St Bldg A, La Verkin, UT 84745-5633 | 2018-08-09 |
| 1821512583 | North Star Center, LLC. | Clinic/Center | 254 S State St Ste A, La Verkin, UT 84745-5633 | 2017-08-02 |
| 1023481991 | Life Rehabilitation, Lc | Clinic/Center | 8134 S Summit Valley Dr, West Jordan, UT 84088-5930 | 2015-11-02 |
| 1780066902 | Farrington Health Care LLC | Clinic/Center | 7309 South 180 West, Midvale, UT 84047-1020 | 2015-06-24 |
| 1326563032 | Brighton Recovery Center Intensive Outpatient LLC | Clinic/Center | 5677 S 1475 E, South Ogden, UT 84403-7032 | 2017-08-03 |
| 1730630203 | Clinical Consultants LLC | Clinic/Center | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2016-10-20 |
| 1174858823 | Therapeutic Wellness Center | Clinic/Center | 5974 Fashion Point Dr, Suite 100, South Ogden, UT 84403-4699 | 2009-10-14 |
| 1205073970 | Mckay Dee Hospital | Clinic/Center | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2009-01-16 |
| 1679710412 | Mckay Dee Hospital | Clinic/Center | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2009-01-15 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on EDGE MEDICAL SERVICES.
| 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.