DIRECTMD, LLC (NPI# 1578869954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578869954 |
| Entity Type | Organization |
| Organization Name | DIRECTMD, LLC |
| Practice Address |
Salt Lake County Government Ctr 2001 South State Street, Ste S2400 Salt Lake City UT 84190-0001 |
| Mailing Address |
Po Box 671 Farmington UT 84025-0671 |
| Practice Telephone | 8018708500 |
| Practice Fax Number | 8014678393 |
| Mailing Telephone | 8018708500 |
| Mailing Fax Number | 8019399998 |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |
| Authorized Official Name | MR. GARY J MACKELPRANG (MANAGING PARTNER) |
| Authorized Official Telephone | 8018708500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | UT | Ambulatory Health Care Facilities |
| Street Address |
SALT LAKE COUNTY GOVERNMENT CTR 2001 SOUTH STATE STREET, STE S2400 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84190-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891299012 | Sherrie Lynn Bolton | Counselor | 2001 S State St # S2-300, Salt Lake City, UT 84190-0001 | 2018-03-21 |
| 1235136136 | Salt Lake County | Public Health or Welfare | 2001 S State St, S1500, Salt Lake City, UT 84190-0001 | 2005-07-07 |
| 1962873703 | Iris Gonzales | Case Manager/Care Coordinator | 2001 S State St, Ste. S2300, Salt Lake City, UT 84190-0001 | 2015-10-19 |
| 1659742187 | Heidi Kenney | Case Manager/Care Coordinator | 2001 S State St, St S2300, Salt Lake City, UT 84190-0001 | 2015-10-09 |
| 1033580634 | Nelli Alexandra Olga Vi Crofts | Case Manager/Care Coordinator | 2001 S State St, Salt Lake City, UT 84190-0001 | 2015-10-08 |
| 1619367265 | Salt Lake County Aging & Adult Services | Case Management | 2001 S State St, S1 600, Salt Lake City, UT 84190-0001 | 2015-02-03 |
| 1639492036 | Michelle Moyes | Clinic/Center | 2001 S State St, S2300, Salt Lake City, UT 84190-0001 | 2010-03-12 |
| 1235260795 | County of Salt Lake | Public Health or Welfare | 2001 S State St, Suite S2500, Salt Lake City, UT 84190-0001 | 2007-03-08 |
| 1306916325 | Tracy Christensen | Public Health or Welfare | 2001 S State St, Salt Lake City, UT 84190-0001 | 2006-11-08 |
| 1013149368 | Dagmar Vitek | Community Health Worker | 2001 S. State St., Suite S-2400, Salt Lake City, UT 84190-2150 | 2009-08-20 |
| Find all providers in zip 84190 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086631 | Treatment Assessment Screening Center, Inc | Clinic/Center | 145 E 1300 S Ste 101, Salt Lake City, UT 84115-6118 | 2015-10-22 |
| 1285016972 | Gonstead Chiropractic | Clinic/Center | 1154 S 300 W, Suite C, Salt Lake City, UT 84101-3053 | 2015-06-18 |
| 1932490190 | Work Care Clinic | Clinic/Center | 2390 S Redwood Road, Salt Lake City, UT 84119-2027 | 2011-04-22 |
| 1124156906 | Madhuri Shah | Clinic/Center | 515 S 400 E, Salt Lake City, UT 84111-3501 | 2007-03-01 |
| 1902833270 | Diabetic Treatment Centers of America | Clinic/Center | 50 S 900 E, Suite 1a, Salt Lake City, UT 84102-1366 | 2006-06-26 |
| 1447733258 | Mr Health, Inc. | Clinic/Center | 1860 S 300 W Ste B, Salt Lake City, UT 84115-2198 | 2018-09-08 |
| 1376032672 | Symbiosis Counseling | Clinic/Center | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2018-05-02 |
| 1780182683 | Valleyfit Clinic LLC | Clinic/Center | 4460 S Highland Dr Ste 300, Salt Lake City, UT 84124-3562 | 2018-01-25 |
| 1023521119 | All for Women Healthcare, Inc | Clinic/Center | 2605 E 3300 S, Salt Lake City, UT 84109-2728 | 2017-11-10 |
| 1750890935 | Susan Imhoff Bird | Clinic/Center | 4505 S Wasatch Blvd Ste 320, Salt Lake City, UT 84124-4755 | 2017-09-20 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84190 |
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| 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.