Organization
SENIOR HEALTH LLC
Active
Organization
SENIOR HEALTH LLC
Active
Other names
Senior Health LLC, Senior Health - Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD BANGERTER (AUTHORIZED OFFICIAL)
(801) 397-4101
Entity
Organization
Contact information
Practice address
598 W 900 S STE 230, WOODS CROSS, UT 84010-8195
(801) 397-4040
(801) 693-2399
Mailing address
598 W 900 S STE 230, WOODS CROSS, UT 84010-8195
(801) 397-4040
(801) 693-2399
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/12/2020
Last updated
09/02/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up