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NPI Code Detail

MEDICARE: FIRSTMED CENTRAL LLC

MEDICARE: FIRSTMED CENTRAL LLC
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
1261QU0200XUrgent Care Clinic/Center183868-1205UT

General Provider Information

NPI Number : 1922141191
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRSTMED CENTRAL LLC
Provider Business Mailing Address
First Line : PO BOX 307
Second Line :
City : BOUNTIFUL
State : UT
Zip : 84011-0307
Country : US
Telephone Number : 801-294-6907
Fax Number : 801-294-6917
Provider Business Practice Location Address
First Line : 441 S REDWOOD RD
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84104-3539
Country : US
Telephone Number : 801-973-2588
Fax Number : 801-973-6985
Authorized Official
Title or Position : DIRECTOR
Name : DAVID KREMER
Credential :
Telephone Number : 801-973-2588
Provider Enumeration Date : 02/15/2007
Last Update Date : 06/22/2010

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Directions to “FIRSTMED CENTRAL LLC ” Practice Location

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