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NPI Code Detail

MEDICARE: ELM CITY HEALTH

MEDICARE: ELM CITY HEALTH
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1770432890
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELM CITY HEALTH
Provider Business Mailing Address
First Line : 56 E BROADWAY STE 710
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-2232
Country : US
Telephone Number : 385-612-4565
Fax Number :
Provider Business Practice Location Address
First Line : 56 E BROADWAY STE 710
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84111-2232
Country : US
Telephone Number : 385-612-4565
Fax Number :
Authorized Official
Title or Position : OWNER/OPERATOR
Name : BRADLEY JAMES CHRISTENSEN
Credential : PA-C
Telephone Number : 385-612-4565
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ELM CITY HEALTH ” Practice Location

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