NPIMap

Organization Active NPI

Nat-Su Health Care LLC

  • Clinic/Center
  • Tooele, UT
National Provider Identifier
1508549049
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NAT-SU HEALTH CARE LLC
Practice address
1929 North Aaron Drove
Ste I
Tooele, UT 84074-8112
Phone
(435) 850-1823
Fax
(435) 850-1911
NPI assigned
Aug 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Crystal Brennan
Title
Billing Director
Phone
(385) 529-8735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1929 North Aaron Drove
Ste I
Tooele, UT 84074-8112

Mailing address

1929 North Aaron Drove
Ste I
Tooele, UT 84074-8112
Phone (435) 850-1823

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1508549049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 NORTH AARON DROVE",
            "address_2": "STE I",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840748112",
            "telephone_number": "435-850-1823",
            "fax_number": "435-850-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 NORTH AARON DROVE",
            "address_2": "STE I",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840748112",
            "telephone_number": "435-850-1823",
            "fax_number": "435-850-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAT-SU HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "385-529-8735"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.