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OGDEN CLINIC PC NPI 1578550083


NPI Information

NPI: 1578550083
Provider Name: OGDEN CLINIC PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 46D2025268

Address:
4650 HARRISON BLVD
OGDEN, UT
ZIP 84403
Phone: (801) 475-3000
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OGDEN CLINIC PC is a family medicine in Ogden, 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. OGDEN CLINIC PC NPI is 1578550083. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4650 HARRISON BLVD
OGDEN, UT
ZIP 84403-303
Phone: (801) 475-3000
Fax: (801) 475-3000

The provider's authorized official is Chad Tingey .
The authorized official title is Board President and has the following contact phone number (801) 475-3481.

The CLIA number assigned to this NPI record is 46D2025268 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/29/2005 and was last updated on 2/3/2021.


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
1363L00000XNurse PractitionerNo
2207N00000XDermatologyNo
3207R00000XInternal MedicineNo
4207V00000XObstetrics & GynecologyNo
5207X00000XOrthopaedic SurgeryNo
6208000000XPediatricsNo
72085R0202XRadiologyDiagnostic RadiologyNo
8208600000XSurgeryNo
9208800000XUrologyNo
10208C00000XColon & Rectal SurgeryNo
11213E00000XPodiatristNo
12225100000XPhysical TherapistNo
13231H00000XAudiologistNo
14363A00000XPhysician AssistantNo
15207Q00000XFamily MedicineYes

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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