Family Medicine
FJM BASECAMP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1255858734 · enumerated 2017-08-25 · record updated 2022-07-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DARCE LATSIS, Operations Manager · (801) 441-1002
Other names: FJM MEDICAL CLINIC-BASECAMP
Addresses and phones
- Practice location 185 S STATE ST STE 208, SALT LAKE CITY, UT, 84111-1558 (801) 821-5454 Fax (801) 821-5455 Google Maps Apple Maps OpenStreetMap
- Mailing address 560 S 300 E STE 275, SALT LAKE CITY, UT, 84111-3586 (801) 441-1002 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 70786441205 UT
In this directory
Locations and evidence
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Practice location
SALT LAKE CITY, UT, 841111558
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.