# CORE HELATH AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871040774
- **Authorized official:** ROSEMARY MEDINA PHARMD (CLINICAL DIRECTOR)
- **Authorized official phone:** (503) 435-4954

## Contact information

- **Practice address:** 1898 W 3500 S, SALT LAKE CITY, UT 84119-3436
- **Practice address phone:** (801) 604-2080
- **Practice address fax:** (801) 295-5602
- **Mailing address:** 1898 W 3500 S STE 16, S SALT LAKE, UT 84119-3436
- **Mailing address phone:** (801) 604-2080
- **Mailing address fax:** (801) 295-5602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | UT | Yes |

## Other

- **Enumeration date:** 09/08/2016
- **Last updated:** 09/08/2016