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SALT LAKE FAMILY HEALTH CNTR NPI 1417066176


NPI Information

NPI: 1417066176
Provider Name: SALT LAKE FAMILY HEALTH CNTR
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1002 E SOUTH TEMPLE 404
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 350-4479
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SALT LAKE FAMILY HEALTH CNTR is a family medicine in Salt Lake City, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SALT LAKE FAMILY HEALTH CNTR NPI is 1417066176. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1002 E SOUTH TEMPLE 404
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 350-4479
Fax: (801) 350-4377

The provider's authorized official is Paul Richard Swoboda .
The authorized official title is President and has the following contact phone number (801) 350-4479.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine27746451205UTAHNo
2207Q00000XFamily Medicine3560871205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1496801378020MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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