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HIDDEN VALLEY FAMILY MEDICINE INC NPI 1144246984


NPI Information

NPI: 1144246984
Provider Name: HIDDEN VALLEY FAMILY MEDICINE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 46D0947397

Address:
12176 S 1000 E
DRAPER, UT
ZIP 84020
Phone: (801) 572-3750
Get Directions

HIDDEN VALLEY FAMILY MEDICINE INC is a family medicine in Draper, 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. HIDDEN VALLEY FAMILY MEDICINE INC NPI is 1144246984. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12176 S 1000 E
DRAPER, UT
ZIP 84020-716
Phone: (801) 572-3750
Fax: (801) 572-1097

The provider's authorized official is Benjamin Gunn .
The authorized official title is Office Manager and has the following contact phone number (801) 572-3750.

The CLIA number assigned to this NPI record is 46D0947397 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 12/10/2007.


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
1207Q00000XFamily Medicine181268-1205UTAHNo
2207Q00000XFamily Medicine181191-8905UTAHNo
3207Q00000XFamily Medicine188509-1205UTAHYes

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: 5/5/2024

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