Organization Active NPI

Core Helath and Wellness

  • Community Health Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1871040774
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
CORE HELATH AND WELLNESS
Practice address
1898 W 3500 S
Salt Lake City, UT 84119-3436
Phone
(801) 604-2080
Fax
(801) 295-5602
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Rosemary Medina, PHARMD
Title
Clinical Director
Phone
(503) 435-4954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X UT Primary

Addresses

Primary practice location

1898 W 3500 S
Salt Lake City, UT 84119-3436

Mailing address

1898 W 3500 S Ste 16
S Salt Lake, UT 84119-3436
Phone (801) 604-2080

National Provider Directory

National Provider Directory

Locations

1898 W 3500 S
Salt Lake City, UT 84119
Phone (801) 604-2080

1898 W 3500 S
Ste 16
South Salt Lake, UT 84119

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1871040774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1898 W 3500 S STE 16",
            "city": "S SALT LAKE",
            "state": "UT",
            "postal_code": "841193436",
            "telephone_number": "801-604-2080",
            "fax_number": "801-295-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 W 3500 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841193436",
            "telephone_number": "801-604-2080",
            "fax_number": "801-295-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HELATH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "503-435-4954",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "UT",
            "license": null,
            "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 8, 2016; 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.