Healthcare Provider Details

I. General information

NPI: 1720648744
Provider Name (Legal Business Name): CAREPOINT HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 06/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ST. MARK'S HOSPITAL 1200 E 3900 S
SALT LAKE CITY UT
84124-1300
US

IV. Provider business mailing address

5600 S QUEBEC ST
GREENWOOD VILLAGE CO
80111-2207
US

V. Phone/Fax

Practice location:
  • Phone: 801-268-7111
  • Fax:
Mailing address:
  • Phone: 303-436-2727
  • Fax: 303-436-2710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH SMITH
Title or Position: VICE PRESIDENT/GENERAL COUNSEL
Credential:
Phone: 303-436-2727