Healthcare Provider Details

I. General information

NPI: 1417667742
Provider Name (Legal Business Name): TOGO ACUTE AND POST ACUTE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 W SOUTH JORDAN PKWY STE 450
SOUTH JORDAN UT
84095-3946
US

IV. Provider business mailing address

PO BOX 550
RIVERTON UT
84065-0550
US

V. Phone/Fax

Practice location:
  • Phone: 801-919-3008
  • Fax: 801-960-1780
Mailing address:
  • Phone: 801-919-3008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GREGORY BAIRD
Title or Position: PHYSICIAN
Credential: MD
Phone: 801-919-3008