PARTNER MEDICAL UT LLC (NPI# 1841559424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841559424 |
| Entity Type | Organization |
| Organization Name | PARTNER MEDICAL UT LLC |
| Other Organization Name | PARTNER MEDICAL |
| Practice Address |
12393 Gateway Park Pl Suite 50 Draper UT 84020-2309 |
| Practice Telephone | 6052750083 |
| Practice Fax Number | 8665902137 |
| Mailing Telephone | 6052750083 |
| Mailing Fax Number | 8665902137 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2014-03-27 |
| Authorized Official Name | MR. BRADLEY D SEVERSON (PRESIDENT) |
| Authorized Official Telephone | 6052750083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Partner Medical | Doing Business As Name - Organization |
| Street Address |
12393 GATEWAY PARK PL SUITE 50 |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558507699 | Superior Care Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 12393 Gateway Park Pl, Draper, UT 84020-2309 | 2008-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851951941 | R.p. Consulting L.l.c | Durable Medical Equipment & Medical Supplies | 1191 E Hawberry Cir, Draper, UT 84020-7551 | 2019-06-19 |
| 1225514425 | Life Health Dme, LLC | Durable Medical Equipment & Medical Supplies | 1809 E Indian Wells Ln, Draper, UT 84020-8301 | 2018-07-11 |
| 1265731673 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | 1020 E Pioneer Rd, Draper, UT 84020 | 2011-03-24 |
| 1922238237 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 176 E 13800 S, Draper, UT 84020-9548 | 2009-07-21 |
| 1952410250 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1166 Draper Parkway, Draper, UT 84020-9095 | 2006-08-30 |
| 1104831148 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1311 E 12300 S, Draper, UT 84020 | 2006-07-29 |
| 1073530275 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1360 E Draper Pkwy, Draper, UT 84020-8567 | 2006-07-16 |
| 1104841733 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 212 E 12300 S, Draper, UT 84020-8184 | 2006-07-13 |
| 1700889680 | Alliance Medical, Inc. | Durable Medical Equipment & Medical Supplies | 146 E 13065 S, Ste F, Draper, UT 84020-8674 | 2005-05-24 |
| 1043852908 | Brio Dme LLC | Durable Medical Equipment & Medical Supplies | 11762 S State St Ste 350, Draper, UT 84020-7171 | 2019-10-11 |
| Find all providers in DRAPER | ||||
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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.