Organization
VASLCHCS
Active
Organization
VASLCHCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANDREA Y BAKER (REGISTERED NURSE)
(801) 582-1565
Entity
Organization
Contact information
Practice address
501 FOOTHILL BLVD, SLC, UT 84148-0001
(801) 582-1565
Mailing address
1732 N 2225 W, CLINTON, UT 84015-7980
(801) 695-1189
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
2239013102
UT
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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