OGDEN REG MED CNTR PROFESSIONAL BILLING LLC NPI 1457537250

NPI Information

NPI: 1457537250
Provider Name: OGDEN REG MED CNTR PROFESSIONAL BILLING LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 46D2018996

Address:
5475 S 500 E
OGDEN, UT
ZIP 84405
Phone: (801) 479-2468
Get Directions

OGDEN REG MED CNTR PROFESSIONAL BILLING LLC is a cardiovascular disease internal medicine in Ogden, UT. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. OGDEN REG MED CNTR PROFESSIONAL BILLING LLC NPI is 1457537250. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5475 S 500 E
OGDEN, UT
ZIP 84405-905
Phone: (801) 479-2468
Fax: (801) 479-2936

The provider's authorized official is Bryan Mckinley .
The authorized official title is Cfo and has the following contact phone number (801) 268-7157.

The CLIA number assigned to this NPI record is 46D2018996 - other - imaging center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 4/20/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========001	MEDICAID	UTAH
2	DC4368	MEDICARE PIN

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

NPI Synchronization or Removal

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