Provider Demographics
NPI:1851100689
Name:UTAH CASE MANAGEMENT
Entity type:Organization
Organization Name:UTAH CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:CASPERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-407-0047
Mailing Address - Street 1:13691 S BROWN FARM LN
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-7809
Mailing Address - Country:US
Mailing Address - Phone:801-407-0047
Mailing Address - Fax:
Practice Address - Street 1:13691 S BROWN FARM LN
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7809
Practice Address - Country:US
Practice Address - Phone:801-407-0047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management