IndividualActive
Carol Bourne, BHCM
NPI 1376404186 · Case Manager/Care Coordinator · Tooele, UT
Provider details
- NPI number
- 1376404186
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Credential
- BHCM
- Sex
- Female
- Sole proprietor
- No
- License
- F25-128534 (UT)
Specialties & taxonomies
Other Service Providers
Practice location
60 S Main St Ste 5
Tooele, UT 84074-2168
Phone: (435) 255-6150
Fax: (707) 628-9861
Approximate (ZIP-level) locationGet directions
Mailing address
469 Havasu St
Tooele, UT 84074-1519
Registry dates
- Enumerated
- 2025-11-20
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.