ONSITE CARE AT OVERSTOCK


Address: 779 W Coliseum Way, Midvale, UT 84047-4867
Phone: 8014411002

ONSITE CARE AT OVERSTOCK (NPI# 1922542091) 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) 1922542091
Entity Type Organization
Organization Name ONSITE CARE AT OVERSTOCK
Other Organization Name ONSITE CARE DBA ONSITE CARE AT OVERSTOCK
Practice Address 779 W Coliseum Way
Midvale
UT 84047-4867
Mailing Address 560 S 300 E Ste 275
Salt Lake City
UT 84111-3586
Practice Telephone 8014411002
Mailing Telephone 8014411002
Enumeration Date 2016-12-08
Last Update Date 2020-01-30
Authorized Official Name DARCE LATSIS (OPERATIONS MANAGER)
Authorized Official Telephone 8014411002
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
129931 UT Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
OnSite Care DBA OnSite care at Overstock Doing Business As Name - Organization

Office Location

Street Address 779 W COLISEUM WAY
City MIDVALE
State UT
Zip Code 84047-4867

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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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Competitor

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City MIDVALE
Zip Code 84047

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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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