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TRUE NORTH PROVIDER SERVICES LLC
NPI 1619834132
Nurse Practitioner - Gerontology in South Salt Lake, UT

Active since January 07, 2026
2200 S STATE ST STE 200, SOUTH SALT LAKE, UT 84115(801) 922-4790(801) 922-4790 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About True North Provider Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRUE NORTH PROVIDER SERVICES LLC (NPI 1619834132) is a healthcare organization registered as a gerontology in South Salt Lake, Utah and active in the NPI registry since January 2026. The organization lists Mark Wallace, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619834132
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameTRUE NORTH PROVIDER SERVICES LLC
Location Address2200 S STATE ST STE 200South Salt Lake, UT 84115-2724
Mailing Address2200 S State St Ste 200South Salt Lake, UT 84115-2724 · (801) 922-4790 · Fax (801) 922-4790
Phone(801) 922-4790
Fax(801) 922-4790
Organization SubpartNo
Authorized OfficialMark WallaceExecutive Director · (801) 628-1452
Enumeration DateJanuary 7, 2026
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1619834132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
2200 S STATE ST STE 200, South Salt Lake, UT 84115
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRUE NORTH HOME HEALTH AND HOSPICE LLC
Home Health
2200 S STATE ST STE 200
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 922-4790
MS. ALEXANDRA MACK CSW
Social Worker
2200 S STATE ST STE 200
SALT LAKE CITY, UT 84115
Salt Lake County (801) 359-8862
TRUE NORTH HOME HEALTH AND HOSPICE LLC
Hospice Care, Community Based
2200 S STATE ST STE 200
SOUTH SALT LAKE, UT 84115
Salt Lake County (801) 922-4790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is True North Provider Services LLC's NPI number?

The NPI number for True North Provider Services LLC is 1619834132. It was assigned to this organization in the NPPES registry on January 7, 2026.

Where is True North Provider Services LLC located?

True North Provider Services LLC is located at 2200 S State St Ste 200, South Salt Lake, UT 84115. The listed phone number is (801) 922-4790.

What is True North Provider Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for True North Provider Services LLC was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.