John Phillip Bostic
Individual provider Active NPI Case Manager/Care Coordinator · Moab, UT
NPI 1346586740 · NPPES record last updated Dec 13, 2012
Key facts
- NPI
- 1346586740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 48 North Shields Lane
Moab, UT 84532-2430 - Phone
- (435) 259-3155
- NPI assigned
- Dec 13, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
48 North Shields Lane
Moab, UT 84532-2430
Mailing address
PO Box 867
Price, UT 84501-0867
Phone (435) 637-7200
Other providers in Moab, UT
- Stephanie Kelly Bergner
- Stefanie Biron
- Matthew Blank
- Kirsten Leigh Bolt
- Taug Boschen
- Jeremy Francis Branch
- Kim M Brandau
- Britton Brewer
- Kelland Jay Brewer
- Kennedy Brewer
All providers in Moab, UT · Case Manager/Care Coordinator in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2012. 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.