FOOTHILL FAMILY CLINC INC. NPI 1902868177

NPI Information

FOOTHILL FAMILY CLINC INC. is a point of service in Salt Lake City, UT. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. FOOTHILL FAMILY CLINC INC. NPI is 1902868177. The provider is registered as an organization entity type.

The provider's business location address is:

6360 S 3000 E
SUITE 100
SALT LAKE CITY, UT
ZIP 84121-923
Phone: (801) 365-1032
Fax: (801) 365-1033

The provider's authorized official is Heather Alcorn .
The authorized official title is Office Manager and has the following contact phone number (801) 365-1032.

The CLIA number assigned to this NPI record is 46D0935188 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/4/2006 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:

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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