FJM OGDEN NPI 1104208412

NPI Information

  • NPI: 1104208412
  • Provider Name: FJM OGDEN
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: ONSITE CARE
  • CLIA Number: 06D2244600
  • Address: 1104 COUNTRY HILLS DR
    SUITE 110
    OGDEN, UT
    ZIP 84403
  • Phone: (801) 624-1633

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NPI Details

FJM OGDEN is a primary care clinic center in Ogden, UT. FJM OGDEN NPI is 1104208412. The provider is registered as an organization entity type.
The provider Is Doing Business As Onsite Care.

The provider's business location address is:

1104 COUNTRY HILLS DR
SUITE 110
OGDEN, UT
ZIP 84403-400
Phone: (801) 624-1633

The provider's authorized official is Darce Latsis .
The authorized official title is Program Manager and has the following contact phone number (801) 441-1002.

The CLIA number assigned to this NPI record is 06D2244600 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2015 and was last updated on 1/30/2020.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care94364441725UTAHYes

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: 3/30/2025

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