Healthcare Provider Details

I. General information

NPI: 1962348334
Provider Name (Legal Business Name): VEGA HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 E 12200 S STE 200
DRAPER UT
84020-7833
US

IV. Provider business mailing address

272 E 12200 S STE 200
DRAPER UT
84020-7833
US

V. Phone/Fax

Practice location:
  • Phone: 801-921-5781
  • Fax:
Mailing address:
  • Phone: 801-921-5781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: CLARK WRIGHT
Title or Position: CEO
Credential:
Phone: 801-558-7176