CCN: 461564 NPI: 1750334645 Organization

Caregiver Support Network Hospice

404 E 4500 S STE A24
SALT LAKE CITY, UT 841072756

Contact Information

Phone 8017472100
Fax 8017472104
Enumeration Date 2006-05-19
Last Updated 2022-09-20

Taxonomies

Code: 251G00000X (Primary) License State: UT

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 41620

providerType 35

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

specialPaymentIndicator

carrierCode 03502

localityCode 09