BRISTOL PALLIATIVE CARE SERVICES, L.L.C. (NPI# 1174006605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174006605 |
| Entity Type | Organization |
| Organization Name | BRISTOL PALLIATIVE CARE SERVICES, L.L.C. |
| Other Organization Name | BRISTOL BRIDGES ADVANCED DISEASE MANAGEMENT |
| Practice Address |
3216 S Highland Dr Ste 100 Salt Lake City UT 84106-4196 |
| Mailing Address |
206 N 2100 W Ste 202 Salt Lake City UT 84116-4741 |
| Practice Telephone | 8019244992 |
| Practice Fax Number | 8014783588 |
| Mailing Telephone | 8013250175 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Authorized Official Name | HYRUM A KIRTON (PRESIDENT AND CEO BRISTOL HOSPICE) |
| Authorized Official Telephone | 8013250175 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRISTOL HOSPICE, L.L.C. |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bristol Bridges Advanced Disease Management | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Merchant St Ste 2900, Honolulu, HI 968134384 | 8019244992 | 8014783588 |
| Street Address |
3216 S HIGHLAND DR STE 100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-4196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760033443 | Careatc | Clinic/Center | 669 W 200 S, Salt Lake City, UT 84101-1014 | 2019-09-24 |
| 1053764431 | Olympus Family Medicine | Clinic/Center | 4624 S Holladay Blvd Ste 100, Salt Lake City, UT 84117-7054 | 2016-07-20 |
| 1467830919 | Mary M. Martineau | Clinic/Center | 335 E 2nd Ave Apt A, Salt Lake City, UT 84103-2626 | 2015-05-15 |
| 1316117344 | Avenues To Health, LLC | Clinic/Center | 223 W 700 S, Suite D, Salt Lake City, UT 84101-2718 | 2008-03-05 |
| 1487260550 | Doctors House Calls of Utah, LLC | Clinic/Center | 1250 E 3900 S Ste 440, Salt Lake City, UT 84124-1349 | 2020-09-23 |
| 1184093924 | Westech Wellness Center | Clinic/Center | 3605 S West Temple, Salt Lake City, UT 84115-4409 | 2015-09-23 |
| 1275940611 | Sunnyside Pediatrics | Clinic/Center | 1060 E 100 S, #400, Salt Lake City, UT 84102-1501 | 2014-07-17 |
| 1447667217 | Granger Medical Clinic, Inc. | Clinic/Center | 1250 E 3900 S, Suite 250, Salt Lake City, UT 84124-1348 | 2014-07-14 |
| 1821225079 | Sara A. Wells, M.d., A Professional Corporation | Clinic/Center | 2131 E 2100 S, Salt Lake City, UT 84109-1128 | 2009-06-15 |
| 1730331984 | Future Care Plan, Inc | Clinic/Center | 7084 S 2300 E, Suite #110, Salt Lake City, UT 84121-3968 | 2008-10-21 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84106 |
Please comment or provide details below to improve the information on BRISTOL PALLIATIVE CARE SERVICES, L.L.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.