Healthcare Provider Details

I. General information

NPI: 1891248936
Provider Name (Legal Business Name): SACRED CIRCLE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 S 200 E STE 250
SALT LAKE CITY UT
84111-3835
US

IV. Provider business mailing address

660 S 200 E STE 250
SALT LAKE CITY UT
84111-3835
US

V. Phone/Fax

Practice location:
  • Phone: 801-359-2256
  • Fax: 801-364-4392
Mailing address:
  • Phone: 801-359-2256
  • Fax: 801-364-4392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LINDA THATCHER
Title or Position: BILLING
Credential:
Phone: 801-359-2256