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Organization

BRISTOL PALLIATIVE CARE SERVICES, LLC

Active
Parent organization
BRISTOL HOSPICE, L.L.C.
Other names
Bristol Advanced Illness Management
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRISTOL HOSPICE, L.L.C.
Authorized official
MELISSA BROADWAY (CHIEF CLINICAL OFFICER)
(801) 930-5266
Entity
Organization

Contact information

Practice address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
(801) 325-0175
(801) 478-3588
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
(801) 930-5266
(801) 930-5272

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
08/01/2018
Last updated
10/20/2025
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