Salt Lake Behavioral Health LLC

A Medicare group practice based in Salt Lake City, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6709915473), with 33 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6709915473The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
2
Group size
7 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20100915000764 UT Part A Provider - Hospital 1295066116
O20120315000189 UT Part B Supplier - Clinic/Group Practice 1295066116

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 33

Clinicians who reassign their Medicare benefits to this group (33) or whom Care Compare lists as members (7).

Sources for this page