Organization Active NPI

Warner Support Center Corp

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1801120712
Registry record updated Sep 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53583271205 Issued in UT
Legal business name
WARNER SUPPORT CENTER CORP
Practice address
32 W 200 S
Ste 423
Salt Lake City, UT 84101-1603
Phone
(801) 616-9259
NPI assigned
Sep 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2009

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

Authorized official

Name
Brian W Carlson
Title
Ceo
Phone
(801) 616-9259

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 53583271205 UT Primary

Addresses

Primary practice location

32 W 200 S
Ste 423
Salt Lake City, UT 84101-1603

Mailing address

32 W 200 S
Ste 423
Salt Lake City, UT 84101-1603

National Provider Directory

National Provider Directory

Locations

32 W 200 S
Slc, UT 84101
Phone (801) 616-9259

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254009600000",
    "number": "1801120712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 W 200 S",
            "address_2": "STE 423",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 W 200 S",
            "address_2": "STE 423",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011603",
            "telephone_number": "801-616-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARNER SUPPORT CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-27",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-616-9259"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "53583271205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2009; 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.