Healthcare Provider Details

I. General information

NPI: 1356359780
Provider Name (Legal Business Name): FIRSTMED EAST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 06/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 E 7000 S
SALT LAKE CITY UT
84121-6894
US

IV. Provider business mailing address

PO BOX 307
BOUNTIFUL UT
84011-0307
US

V. Phone/Fax

Practice location:
  • Phone: 801-943-3300
  • Fax: 801-943-3461
Mailing address:
  • Phone: 801-294-6907
  • Fax: 801-294-6917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID KREMER
Title or Position: DIRECTOR
Credential:
Phone: 801-973-2588