CANCER SURVIVOR HEALTH NETWORK, L.L.C.
NPI 1114446168
Preventive Medicine - Clinical Informatics in Salt Lake City, UT

NPI Status: Active since September 11, 2017

Contact Information

2486 EAST EMERSON AVENUE
SALT LAKE CITY, UT
ZIP 84108
Phone: (801) 754-6051
Fax: (801) 210-0476

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  • Organization
  • Preventive Medicine
  • Clinical Informatics

About CANCER SURVIVOR HEALTH NETWORK, L.L.C.

This page provides the complete NPI Profile along with additional information for Cancer Survivor Health Network, L.l.c., a provider established in Salt Lake City, Utah operating as a Preventive Medicine, focusing in clinical informatics . The healthcare provider is registered in the NPI registry with number 1114446168 assigned on September 2017. The practitioner's primary taxonomy code is 2083C0008X. The provider is registered as an organization and their NPI record was last updated one year ago. Cancer Survivor Health Network, L.l.c. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is George Willock (Ceo)

NPI
1114446168
Provider Legal Name
CANCER SURVIVOR HEALTH NETWORK, L.L.C.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2486 EAST EMERSON AVENUE SALT LAKE CITY, UT 84108
Location Phone
(801) 754-6051
Location Fax
(801) 210-0476
Mailing Address
1338 S FOOTHILL DR # 333 SALT LAKE CITY, UT 84108
Mailing Phone
(801) 754-6051
Mailing Fax
(801) 210-0476
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2017
Last Update Date
03-26-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preventive Medicine Clinical Informatics

Taxonomy Code
2083C0008X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Physicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement and evaluate information and communication systems that enhance individual and population health outcomes, improve patient care, and strengthen the clinician-patient relationship. Clinical Informaticians use their knowledge of patient care combined with their understanding of informatics concepts, methods, and tools to: assess information and knowledge needs of health care professionals and patients; characterize, evaluate, and refine clinical processes; develop, implement, and refine clinical decision support systems; and lead or participate in the procurement, customization, development, implementation, management, evaluation, and continuous improvement of clinical information systems.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

 
2174H00000XOther Service Providers

Health Educator

 
3251B00000XAgencies

Case Management

 
4261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
5261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 
6261QX0200XAmbulatory Health Care Facilities

Clinic/Center
Oncology

 
7364SX0200XPhysician Assistants & Advanced Practice Nursing Providers

Clinical Nurse Specialist
Oncology

 
8405300000XOther Service Providers

Prevention Professional

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GEORGE WILLOCK

Authorized Official Title
CEO
Authorized Official Phone
(801) 754-6051

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1164852224MEDICAID (05)UT 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114446168, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 8 + 4 + 1 + 2 + 1 + 1 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1114446168.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114446168, enumerated as an "organization" on September 11, 2017.

The provider is located at 2486 EAST EMERSON AVENUE SALT LAKE CITY, UT 84108 and the phone number is (801) 754-6051.

Preventive Medicine with taxonomy code 2083C0008X and a focus in Clinical Informatics.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.