DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MOLINA HEALTHCARE OF UTAH INC

MEDICARE: MOLINA HEALTHCARE OF UTAH 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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1619486396
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOLINA HEALTHCARE OF UTAH INC
Provider Business Mailing Address
First Line : 200 OCEANGATE STE 100
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4317
Country : US
Telephone Number : 888-562-5442
Fax Number : 562-499-6191
Provider Business Practice Location Address
First Line : 7050 S UNION PARK AVE STE 200
Second Line :
City : MIDVALE
State : UT
Zip : 84047-4171
Country : US
Telephone Number : 888-562-5442
Fax Number : 562-499-6191
Authorized Official
Title or Position : VP, CLINIC INFORMATICS
Name : GINA TURLEY
Credential :
Telephone Number : 888-562-5442
Provider Enumeration Date : 09/25/2017
Last Update Date : 11/08/2024

Similar Medicare Providers

1750239570 — BLANCA V BUCHANAN LSUDC
Practice Location Address:
7050 S UNION PARK AVE STE 200
MIDVALE, UT
84047-4171
Practice Phone: 888-483-0760
Practice Fax:
1063910933 — ANDY JAY EDWARDS MSN, APRN, FNP-C
Practice Location Address:
7050 UNION PARK CENTER , #200
MIDVALE, UT
84047-4171
Practice Phone: 888-562-5442
Practice Fax: 562-499-6171
1700351830 — CELESTE MARIE HICKEN NP-C
Practice Location Address:
7050 S UNION PARK AVE STE 200
MIDVALE, UT
84047-4171
Practice Phone: 888-562-5442
Practice Fax:
1578198966 — ALEXANDRA NICOLE HECHT
Practice Location Address:
7050 S UNION PARK AVE STE 200
MIDVALE, UT
84047-4171
Practice Phone: 888-562-5442
Practice Fax:
1679421515 — TOI H SAMPSON
Practice Location Address:
6771 S 900 E
MIDVALE, UT
84047-1436
Practice Phone: 801-386-9799
Practice Fax:
1821945817 — TRINITI BOND
Practice Location Address:
6856 S 700 E
MIDVALE, UT
84047-1361
Practice Phone: 888-949-4864
Practice Fax:

Directions to “MOLINA HEALTHCARE OF UTAH 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.