Integrated Wellcare, LLC.

General Practice Physician · West Jordan, UT

Organization Active NPI

NPI number 1982928545

Practice location

5168 Crus Corvi Rd
West Jordan, UT 84081-5336
Phone
(801) 358-7567

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NPI record

NPI
1982928545
Entity type
Organization (Type 2)
Enumeration date
March 25, 2010
Last updated
March 25, 2010
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X — —

Authorized official

Name
Mr. Jamison Sivulich
Title
Managing Member
Phone
(801) 358-7567

About Integrated Wellcare, LLC.

Integrated Wellcare, LLC. is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 5168 Crus Corvi Rd, West Jordan, UT 84081-5336. The NPI number 1982928545 was assigned on March 25, 2010 and the record was last updated on March 25, 2010.

The authorized official for this organization is Mr. Jamison Sivulich, Managing Member.

Frequently asked questions

What is the NPI number of Integrated Wellcare, LLC.?

The NPI number is 1982928545.

What is the phone number of Integrated Wellcare, LLC.?

The phone number listed for the practice location is (801) 358-7567.

Where is Integrated Wellcare, LLC. located?

5168 Crus Corvi Rd, West Jordan, UT 84081-5336.

What is the taxonomy code for Integrated Wellcare, LLC.?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.