Adam Aimo
Individual provider Active NPI Community Health Worker · SLC, UT
NPI 1134820228 · NPPES record last updated Mar 15, 2023
Key facts
- NPI
- 1134820228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 344 E 100 S
SLC, UT 84111-1700 - Phone
- (801) 428-4257
- NPI assigned
- Mar 15, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
344 E 100 S
SLC, UT 84111-1700
Mailing address
344 E 100 S
SLC, UT 84111-1700
Phone (801) 428-4257
Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.