1 SOURCE 211 SERVICES
NPI 1407536766
Preventive Medicine - Public Health & General Preventive Medicine in Salt Lake City, UT

Active since July 21, 2023
955 E 200 S, SALT LAKE CITY, UT 84102(702) 462-0067 Get Directions Write a Review

NPPES record last updated: June 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 22, 2024, Jul 21, 2023 (2 updates tracked since 2023).

  • Organization
  • Preventive Medicine
  • Public Health & General Preventive Medic...

About 1 SOURCE 211 SERVICES

This page provides the complete NPI Profile along with additional information for 1 Source 211 Services, a provider established in Salt Lake City, Utah operating as a Preventive Medicine, focusing in public health & general preventive medicine . The healthcare provider is registered in the NPI registry with number 1407536766 assigned on July 2023. The practitioner's primary taxonomy code is 2083P0901X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Miss Taundria R Duncan Advocate/ Cna (Public Service Administrator)

NPI
1407536766 Verify this NPI
Provider Name
1 SOURCE 211 SERVICES
Entity Type
Organization
Location Address
955 E 200 S SALT LAKE CITY, UT 84102
Location Phone
(702) 462-0067
Mailing Address
PO BOX 633 SALT LAKE CITY, UT 84110
Mailing Phone
(702) 462-0067
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2023
Last Update Date
06-22-2024
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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 Public Health & General Preventive Medicine

Taxonomy Code
2083P0901X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MISS TAUNDRIA R DUNCAN ADVOCATE/ CNA

Authorized Official Title
PUBLIC SERVICE ADMINISTRATOR
Authorized Official Phone
(702) 462-0067

Reviews for 1 SOURCE 211 SERVICES

  • 5 out of 5 stars - Review by JAMES ***** on April 01, 2024

    VERY ATTENTIVE STAFF THAT WAS VERY HELPFUL TO ACCOMPLISH MY CARE PLANS ACCORDING TO MY NEEDS HIGHLY RECOMMAND

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Voluntary or Charitable
955 E 200 S
SALT LAKE CITY, UT 84102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407536766, enumerated as an "organization" on July 21, 2023.

The provider is located at 955 E 200 S SALT LAKE CITY, UT 84102 and the phone number is (702) 462-0067.

Preventive Medicine with taxonomy code 2083P0901X and a focus in Public Health & General Preventive Medicine.