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HUNTER MEDICAL CENTER INC NPI 1205957131


NPI Information

NPI: 1205957131
Provider Name: HUNTER MEDICAL CENTER, INC

Doing Business As: JORDAN MEADOWS MEDICAL CENTER.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 46D0934060

Address:
3354 W 7800 S
WEST JORDAN, UT
ZIP 84088
Phone: (801) 282-2677
Get Directions

HUNTER MEDICAL CENTER, INC is a family medicine in West Jordan, 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. HUNTER MEDICAL CENTER, INC NPI is 1205957131. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jordan Meadows Medical Center..

The provider's business location address is:

3354 W 7800 S
WEST JORDAN, UT
ZIP 84088-506
Phone: (801) 282-2677
Fax: (801) 282-2050

The provider's authorized official is Frederic M Civish .
The authorized official title is Owner and has the following contact phone number (801) 282-2677.

The CLIA number assigned to this NPI record is 46D0934060 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 12/23/2010.


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 Medicine184916-1205UTAHYes

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
1000055875MEDICARE ID-TYPE UNSPECIFIEDUTAHGROUP NUMBER

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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