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LOGAN MEDICAL GROUP LLC NPI 1023512241


NPI Information

NPI: 1023512241
Provider Name: LOGAN MEDICAL GROUP LLC

Doing Business As: FIRST CHOICE OCCMED

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 46D2146239

Address:
2150 N MAIN ST STE 3
NORTH LOGAN, UT
ZIP 84341
Phone: (435) 716-8765
Get Directions

LOGAN MEDICAL GROUP LLC is a family medicine in North Logan, 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. LOGAN MEDICAL GROUP LLC NPI is 1023512241. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As First Choice Occmed.

The provider's business location address is:

2150 N MAIN ST STE 3
NORTH LOGAN, UT
ZIP 84341-740
Phone: (435) 716-8765
Fax: (435) 915-3700

The provider's authorized official is Christopher James Morgan .
The authorized official title is Owner/medical Director and has the following contact phone number (435) 716-8765.

The CLIA number assigned to this NPI record is 46D2146239 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 10/25/2023.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
22083X0100XPreventive MedicineOccupational MedicineNo
3207Q00000XFamily 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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