CENTRO DE SALUD CRUZ (NPI# 1770060980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770060980 |
| Entity Type | Organization |
| Organization Name | CENTRO DE SALUD CRUZ |
| Practice Address |
34 S 500 E Ste 207 Salt Lake City UT 84102-1065 |
| Practice Telephone | 8019080970 |
| Practice Fax Number | 8015310930 |
| Mailing Telephone | 8015600930 |
| Mailing Fax Number | 8015310930 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | MARIA G CRUZ (OWNER/PROVIDER) |
| Authorized Official Telephone | 8015600930 |
| Authorized Official Credential | DNP, FNP, CNM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | NPI | 1538598065 | 01 |
| Street Address |
34 S 500 E STE 207 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538598065 | Maria Guadalupe Cruz | Registered Nurse | 34 S 500 E Ste 207, Salt Lake City, UT 84102-1065 | 2013-11-05 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760033443 | Careatc | Clinic/Center | 669 W 200 S, Salt Lake City, UT 84101-1014 | 2019-09-24 |
| 1174006605 | Bristol Palliative Care Services, L.L.C. | Clinic/Center | 3216 S Highland Dr Ste 100, Salt Lake City, UT 84106-4196 | 2018-09-11 |
| 1053764431 | Olympus Family Medicine | Clinic/Center | 4624 S Holladay Blvd Ste 100, Salt Lake City, UT 84117-7054 | 2016-07-20 |
| 1467830919 | Mary M. Martineau | Clinic/Center | 335 E 2nd Ave Apt A, Salt Lake City, UT 84103-2626 | 2015-05-15 |
| 1316117344 | Avenues To Health, LLC | Clinic/Center | 223 W 700 S, Suite D, Salt Lake City, UT 84101-2718 | 2008-03-05 |
| 1487260550 | Doctors House Calls of Utah, LLC | Clinic/Center | 1250 E 3900 S Ste 440, Salt Lake City, UT 84124-1349 | 2020-09-23 |
| 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 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on CENTRO DE SALUD CRUZ.
| 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.