NPIMap

Organization Active NPI

Work Care-South Side, LLC

  • Clinic/Center
  • Draper, UT
National Provider Identifier
1760773923
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WORK CARE-SOUTH SIDE, LLC
Practice address
12422 S 450 E
Draper, UT 84020-8050
Phone
(801) 748-1600
Fax
(801) 748-1601
NPI assigned
Apr 22, 2011
Last updated
Apr 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Mr. Mark V Anderson, MDNPI 1245455096
Title
President
Phone
(801) 975-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X UT Primary

Addresses

Primary practice location

12422 S 450 E
Draper, UT 84020-8050

Mailing address

PO Box 271395
Salt Lake City, UT 84126-0692
Phone (801) 748-1600

National Provider Directory

National Provider Directory

Locations

12422 S 450 E
Draper, UT 84020
Phone (801) 617-4633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1760773923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271395",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841260692",
            "telephone_number": "801-748-1600",
            "fax_number": "801-748-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12422 S 450 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208050",
            "telephone_number": "801-748-1600",
            "fax_number": "801-748-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORK CARE-SOUTH SIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-975-1600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.