CCN: 461548 NPI: 1801894597 Organization

Moniker Hospice Services of Salt Lake City, Inc

1751 W ALEXANDER ST STE 107
WEST VALLEY, UT 841197600

Contact Information

Phone 8015061500
Fax 8015061501
Enumeration Date 2005-07-07
Last Updated 2023-11-20

Taxonomies

Code: 251G00000X (Primary) License State: UT License: 67685

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 41620

providerType 35

censusDivision 6

cbsaActualGeographicLocation 41620

providerType 35

censusDivision 0

cbsaActualGeographicLocation 41620

providerType 35

censusDivision 0

cbsaActualGeographicLocation 41620

providerType 35

censusDivision 0

cbsaActualGeographicLocation 41620

providerType 35

censusDivision 0

cbsaActualGeographicLocation 41620

providerType 35

censusDivision 0

cbsaActualGeographicLocation 41620

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 41620

providerType 35

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 35

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 35

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 35

operatingCostToChargeRatio 1.0

specialPaymentIndicator

carrierCode 03502

localityCode 09

Moniker Hospice Services of Salt Lake City, Inc

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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