Provider Demographics
NPI:1750964771
Name:US CAREWAYS-SLC, PLLC
Entity type:Organization
Organization Name:US CAREWAYS-SLC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SHUFELDT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:480-221-8059
Mailing Address - Street 1:14818 N 74TH STREET
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:480-221-8059
Mailing Address - Fax:480-452-0823
Practice Address - Street 1:3920 WEST TERMINAL DRIVE
Practice Address - Street 2:SUITE CAW-2-071
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84122
Practice Address - Country:US
Practice Address - Phone:480-221-8059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care