Healthcare Provider Details

I. General information

NPI: 1700414216
Provider Name (Legal Business Name): TRUE NORTH HEALTH NAVIGATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5187 S ASCENSION WAY STE 175
MURRAY UT
84123-4618
US

IV. Provider business mailing address

3825 N LAFAYETTE ST
DENVER CO
80205-3316
US

V. Phone/Fax

Practice location:
  • Phone: 303-500-1518
  • Fax:
Mailing address:
  • Phone: 303-500-1518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRUCE ALLEN JOHNSON
Title or Position: VICE PRESIDENT
Credential:
Phone: 303-589-4149