Provider Demographics
NPI:1912777806
Name:ONSITE CARE, INC.
Entity Type:Organization
Organization Name:ONSITE CARE, INC.
Other - Org Name:EMPLOYEE HEALTH CENTER FOR WEST JORDAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DARCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LATSIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-792-2118
Mailing Address - Street 1:8000 S REDWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-4604
Mailing Address - Country:US
Mailing Address - Phone:385-464-9772
Mailing Address - Fax:801-464-9772
Practice Address - Street 1:8000 S REDWOOD RD
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-4604
Practice Address - Country:US
Practice Address - Phone:385-464-9772
Practice Address - Fax:801-464-9772
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONSITE CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty