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IAA OGDEN INC NPI 1356685903


NPI Information

NPI: 1356685903
Provider Name: IAA OGDEN INC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
5929 FASHION POINT DR
#101
SOUTH OGDEN, UT
ZIP 84403
Phone: (801) 476-0052
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IAA OGDEN INC is a medical specialty clinic center in South Ogden, UT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). IAA OGDEN INC NPI is 1356685903. The provider is registered as an organization entity type.

The provider's business location address is:

5929 FASHION POINT DR
#101
SOUTH OGDEN, UT
ZIP 84403-672
Phone: (801) 476-0052
Fax: (801) 476-0064

The provider's authorized official is Joseph Anderson .
The authorized official title is President and has the following contact phone number (801) 476-0052.

The enumeration date for this NPI number is 11/20/2012 and was last updated on 12/27/2012.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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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