Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cancer Survivor Health Network, LLC

Organization Specialist · NPI 1114446168

Cancer Survivor Health Network, LLC is a Specialist in Salt Lake City, Utah. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2486 E Emerson Ave
Salt Lake City, UT 84108
Phone: (801) 754-6051
Fax: (801) 210-0476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Informatics Physician (primary) Taxonomy 2083C0008X
Specialist Taxonomy 174400000X
Health Educator Taxonomy 174H00000X
Case Management Agency Taxonomy 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Primary Care Clinic/Center Taxonomy 261QP2300X
Oncology Clinic/Center Taxonomy 261QX0200X
Oncology Clinical Nurse Specialist Taxonomy 364SX0200X
Prevention Professional Taxonomy 405300000X

Record details

NPI number1114446168
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Willock — Ceo · (801) 754-6051
Other names Survivor Healthcare
NPI enumeratedSeptember 11, 2017
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address1338 S Foothill Dr # 333, Salt Lake City, UT 84108-2321

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