MEDICARE: ALPINE CARE OPTIONS

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1881871010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPINE CARE OPTIONS

Provider Business Mailing Address
First Line	:	PO BOX 65788
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84165-0788
Country	:	US
Telephone Number	:	801-747-5500
Fax Number	:	801-747-5582

Provider Business Practice Location Address
First Line	:	990 W 5370 S
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84123-5435
Country	:	US
Telephone Number	:	801-747-5500
Fax Number	:	801-747-5582

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	ROBERT H BREINHOLT
Credential	:
Telephone Number	:	801-747-5500

Provider Enumeration Date	:	01/30/2008
Last Update Date	:	02/01/2008

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Directions to “ALPINE CARE OPTIONS ” Practice Location

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