HEALTH CLINICS OF UTAH-SLC NPI 1871654459

NPI Information

HEALTH CLINICS OF UTAH-SLC is a family nurse practitioner in Salt Lake City, UT. HEALTH CLINICS OF UTAH-SLC NPI is 1871654459. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Utah Department Of Health.

The provider's business location address is:

168 N 1950 W STE 201
SALT LAKE CITY, UT
ZIP 84116-007
Phone: (801) 715-3500
Fax: (801) 532-1183

The provider's authorized official is Steve Ipsen .
The authorized official title is Clinic Director and has the following contact phone number (801) 273-6637.

The CLIA number assigned to this NPI record is 46D0671089 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/13/2006 and was last updated on 7/26/2012.

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:

Other Identifiers

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

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