MEDICARE: FAIRVIEW CARE CENTER - EAST, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility	2005-NCF-107	UT

General Provider Information

NPI Number	:	1174520472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIRVIEW CARE CENTER - EAST, INC.

Provider Business Mailing Address
First Line	:	455 S 900 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-2933
Country	:	US
Telephone Number	:	801-355-6891
Fax Number	:	801-521-5248

Provider Business Practice Location Address
First Line	:	455 S 900 E
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-2933
Country	:	US
Telephone Number	:	801-355-6891
Fax Number	:	801-521-5248

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOHN RAY BURTON
Credential	:
Telephone Number	:	801-355-6891

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1720328529 — BEAVER VALLEY HOSPITAL
Practice Location Address:

455 S 900 E
SALT LAKE CITY, UT
84102-2933

Practice Phone: 801-363-6340
Practice Fax: 801-359-8533

1396840146 — NOVOCEUTICS WELLNESS SYSTMES
Practice Location Address:

890 ROBINSON DR
NORTH SALT LAKE, UT
84054-2933

Practice Phone: 801-936-6686
Practice Fax: 801-665-1250

1780789446 — MR. FRANK P MCNEIL RPH
Practice Location Address:

890 ROBINSON DR
NORTH SALT LAKE, UT
84054-2933

Practice Phone: 801-936-6686
Practice Fax:

1467022863 — MOTERUM SPECIALTY SERVICES LLC
Practice Location Address:

2757 S 300 W
SOUTH SALT LAKE, UT
84115-2933

Practice Phone: 678-592-3447
Practice Fax:

1972580835 — DR. NOROZE J KHAN MD
Practice Location Address:

20 LINCOLN ST
JERSEY CITY, NJ
07307-2933

Practice Phone: 201-963-3570
Practice Fax: 201-526-0461

1104804400 — DR. MADHUKAR PANDYA MD
Practice Location Address:

20 LINCOLN ST , MADHUKAR PANDYA MD
JERSEY CITY, NJ
07307-2933

Practice Phone: 201-963-5009
Practice Fax: 201-659-5350

Directions to “FAIRVIEW CARE CENTER - EAST, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.