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PACIFIC DRIVE MEDICAL CENTER INC. NPI 1023253739


NPI Information

NPI: 1023253739
Provider Name: PACIFIC DRIVE MEDICAL CENTER, INC.

Doing Business As: UTAH PAIN TREATMENT CENTER

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
999 E PACIFIC DRIVE
AMERICAN FORK, UT
ZIP 84003
Phone: (801) 756-7800
Get Directions

PACIFIC DRIVE MEDICAL CENTER, INC. is a general practice in American Fork, UT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PACIFIC DRIVE MEDICAL CENTER, INC. NPI is 1023253739. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Utah Pain Treatment Center.

The provider's business location address is:

999 E PACIFIC DRIVE
AMERICAN FORK, UT
ZIP 84003-033
Phone: (801) 756-7800
Fax: (801) 756-7805

The provider's authorized official is Eric C Lee .
The authorized official title is Treasurer and has the following contact phone number (801) 756-7800.

The enumeration date for this NPI number is 12/9/2008 and was last updated on 6/25/2014.


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
1111NN0400XChiropractorNeurologyNo
2111NR0400XChiropractorRehabilitationNo
3207Q00000XFamily MedicineNo
4225100000XPhysical TherapistNo
5225200000XPhysical Therapy AssistantNo
6208D00000XGeneral PracticeYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DP1898OTHERUTAHRAILROAD MEDICARE PTAN
26423380001MEDICARE NSCUTAH
3000065422MEDICARE PINUTAH

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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