Organization · Type 2 NPI

Premise Health of Utah Medical PC

Multi-Specialty Clinic/Center · Salt Lake City, UT

NPI number 1790192235 Active

Practice location

111 S Main St
Salt Lake City, UT 84111-2176

Call (801) 884-1801 Map

Fax (801) 884-1807

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1790192235

Premise Health of Utah Medical PC's National Provider Identifier is 1790192235, issued on Jul 16, 2014. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 17, 2026.