Caresource

NPI #1124242128 in Salt Lake City, Utah

Provider Information

NPI Number: 1124242128
Entity Type: Organization
Organization Name: Caresource
Primary Specialty: Family Medicine - Hospice and Palliative Medicine
Enumeration Date: Apr 12, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 1624 E 4500 S
City: Salt Lake City
State: Utah
ZIP Code: 84117-4212
Phone: (801) 266-7200

Authorized Official

Name: MRS. SHAWNTEL TANNER, MA
Title: ADMINISTRATOR
Phone: (801) 266-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Family Medicine - Hospice and Palliative Medicine — Hospice and Palliative Medicine	207QH0002X	Primary

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