AGELESS MEN'S HEALTH HOLDINGS INC NPI 1215504816

NPI Information

NPI: 1215504816
Provider Name: AGELESS MEN'S HEALTH HOLDINGS, INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1680 W REUNION AVE UNIT 5A
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 878-7411
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AGELESS MEN'S HEALTH HOLDINGS, INC is a primary care clinic center in South Jordan, UT. AGELESS MEN'S HEALTH HOLDINGS, INC NPI is 1215504816. The provider is registered as an organization entity type.

The provider's business location address is:

1680 W REUNION AVE UNIT 5A
SOUTH JORDAN, UT
ZIP 84095-617
Phone: (801) 878-7411

The provider's authorized official is Melissa Chambers .
The authorized official title is Vp Of Business Operations and has the following contact phone number (901) 757-3643.

The enumeration date for this NPI number is 6/10/2021 and was last updated on 6/10/2021.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 11/14/2023

NPI Synchronization or Removal

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