MOUNTAIN MOMENTS NPI 1306466636

NPI Information

  • NPI: 1306466636
  • Provider Name: MOUNTAIN MOMENTS
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 1154 CENTER DR STE D250
    PARK CITY, UT
    ZIP 84098
  • Phone: (206) 795-4360

Map and Directions

Get Directions

NPI Details

MOUNTAIN MOMENTS is a health service clinic center in Park City, UT. MOUNTAIN MOMENTS NPI is 1306466636. The provider is registered as an organization entity type.

The provider's business location address is:

1154 CENTER DR STE D250
PARK CITY, UT
ZIP 84098-258
Phone: (206) 795-4360

The provider's authorized official is Carly Brooks .
The authorized official title is Ceo/founder and has the following contact phone number (206) 795-4360.

The enumeration date for this NPI number is 4/16/2020 and was last updated on 4/16/2020.

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
1261QH0100XClinic/CenterHealth ServiceYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.