MEDICARE: CHARISSE LYN SAGERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1588931950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARISSE LYN SAGERS

Provider Business Mailing Address
First Line	:	650 KOMAS DR
Second Line	:	200
City	:	SLC
State	:	UT
Zip	:	84108-1215
Country	:	US
Telephone Number	:	801-587-8181
Fax Number	:	801-581-8979

Provider Business Practice Location Address
First Line	:	650 KOMAS DR
Second Line	:	200
City	:	SLC
State	:	UT
Zip	:	84108-1215
Country	:	US
Telephone Number	:	801-587-8181
Fax Number	:	801-581-8979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2011
Last Update Date	:	11/29/2011

Similar Medicare Providers

1720140114 — UNI BEHAVIORAL HEALTH CLINICS
Practice Location Address:

650 KOMAS DR , 208
SLC, UT
84108-1215

Practice Phone: 801-585-1212
Practice Fax: 801-585-9096

1063553626 — WILLIAM MARTIN MCMAHON M.D.
Practice Location Address:

650 KOMAS DR , 206
SLC, UT
84108-1215

Practice Phone: 801-585-7781
Practice Fax: 801-581-8979

1649459488 — JEANNE GARFIELD MSW
Practice Location Address:

650 KOMAS DR , #200
SLC, UT
84108-1215

Practice Phone: 801-581-5515
Practice Fax: 801-581-8979

1689941049 — REBECCA GLOVER SSW
Practice Location Address:

650 KOMAS DR , 200
SLC, UT
84108-1215

Practice Phone: 801-587-7687
Practice Fax: 801-581-8979

1720355100 — MELISSA ANN BREWER RN
Practice Location Address:

650 KOMAS DR , 200
SLC, UT
84108-1215

Practice Phone: 801-587-3855
Practice Fax: 801-581-7989

1477820843 — MARK JEFFERSON LANCE
Practice Location Address:

650 KOMAS DR , 200
SLC, UT
84108-1215

Practice Phone: 801-587-3359
Practice Fax: 801-581-8979

Directions to “ CHARISSE LYN SAGERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.