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MOJAVE HEALTH LLC NPI 1588393821


NPI Information

NPI: 1588393821
Provider Name: MOJAVE HEALTH, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 46D2269789

Address:
965 E 700 S STE 205
ST GEORGE, UT
ZIP 84790
Phone: (435) 602-3272
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MOJAVE HEALTH, LLC is a family medicine in St George, 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. MOJAVE HEALTH, LLC NPI is 1588393821. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

965 E 700 S STE 205
ST GEORGE, UT
ZIP 84790-085
Phone: (435) 602-3272

The provider's authorized official is Gary Macdonald .
The authorized official title is Co-owner & Physician and has the following contact phone number (435) 574-9146.

The CLIA number assigned to this NPI record is 46D2269789 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2022 and was last updated on 7/12/2022.


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 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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