Provider Demographics
NPI:1881871010
Name:ALPINE CARE OPTIONS
Entity type:Organization
Organization Name:ALPINE CARE OPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:BREINHOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-747-5500
Mailing Address - Street 1:PO BOX 65788
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84165-0788
Mailing Address - Country:US
Mailing Address - Phone:801-747-5500
Mailing Address - Fax:801-747-5582
Practice Address - Street 1:990 W 5370 S
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-5435
Practice Address - Country:US
Practice Address - Phone:801-747-5500
Practice Address - Fax:801-747-5582
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALPINE HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-30
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management