| Organization Name: | LIFE HEALTH MEDICAL CENTER |
| NPI Number: | 1659731941 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW PAUL WOOD (PRESIDENT) |
| Mailing Address: | 1770 E Fort Union Blvd Ste 101 Cottonwood Heights |
| State: | UT US |
| Postal Code: | 841212881 |
| Phone Number: | 8019445900 |
| Fax Number: | 8019445910 |
| NPI Enumeration Date: | 02/29/2016 |
| NPI Last Update Date: | 02/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |