WREN HOLLOW MEDICAL LLC NPI 1245826981

NPI Information

NPI: 1245826981
Provider Name: WREN HOLLOW MEDICAL LLC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
10644 S JORDAN GTWY
SOUTH JORDAN, UT
ZIP 84095
Phone: (801) 389-3784
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WREN HOLLOW MEDICAL LLC is a community health clinic center in South Jordan, UT. WREN HOLLOW MEDICAL LLC NPI is 1245826981. The provider is registered as an organization entity type.

The provider's business location address is:

10644 S JORDAN GTWY
SOUTH JORDAN, UT
ZIP 84095-036
Phone: (801) 389-3784

The provider's authorized official is Krista Gray .
The authorized official title is Owner and has the following contact phone number (801) 389-3702.

The enumeration date for this NPI number is 12/16/2020 and was last updated on 12/16/2020.

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
1	261QC1500X	Clinic/Center	Community Health			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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