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VALLEY FAMILY MEDICINE PC NPI 1033412481


NPI Information

NPI: 1033412481
Provider Name: VALLEY FAMILY MEDICINE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 46D0942830

Address:
2376 N 400 E STE 102
TOOELE, UT
ZIP 84074
Phone: (435) 843-1225
Get Directions

VALLEY FAMILY MEDICINE PC is a family medicine in Tooele, 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. VALLEY FAMILY MEDICINE PC NPI is 1033412481. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2376 N 400 E STE 102
TOOELE, UT
ZIP 84074-413
Phone: (435) 843-1225
Fax: (435) 843-1228

The provider's authorized official is Carolyn Forbes .
The authorized official title is Owner and has the following contact phone number (435) 843-1225.

The CLIA number assigned to this NPI record is 46D0942830 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2010 and was last updated on 9/20/2011.


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 Medicine346411UTAHYes

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
1000011923MEDICARE PINUTAH
2308723752008MEDICAIDUTAH

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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