TANNER MEMORIAL CLINIC NPI 1265852669

NPI Information

  • NPI: 1265852669
  • Provider Name: TANNER MEMORIAL CLINIC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: TANNER CLINIC
  • CLIA Number: 46D2227765
  • Address: 3443 W 5600 S
    ROY, UT
    ZIP 84067
  • Phone: (801) 773-4840

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NPI Details

TANNER MEMORIAL CLINIC is a general practice in Roy, UT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee TANNER MEMORIAL CLINIC NPI is 1265852669. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tanner Clinic.

The provider's business location address is:

3443 W 5600 S
ROY, UT
ZIP 84067-112
Phone: (801) 773-4840

The provider's authorized official is Kevin Spainhower .
The authorized official title is Business Services Director and has the following contact phone number (801) 773-4840.

The CLIA number assigned to this NPI record is 46D2227765 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/24/2014 and was last updated on 1/20/2020.

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
1208D00000XGeneral PracticeYes

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: 11/21/2025

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