SUMMIT CLINICAL SERVICES OF UTAH LLC NPI 1356744791

NPI Information

NPI: 1356744791
Provider Name: SUMMIT CLINICAL SERVICES OF UTAH LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 46D2106026

Address:
1561 W 7000 S STE 200
WEST JORDAN, UT
ZIP 84084
Phone: (801) 263-0717
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SUMMIT CLINICAL SERVICES OF UTAH LLC is a family nurse practitioner in West Jordan, UT. SUMMIT CLINICAL SERVICES OF UTAH LLC NPI is 1356744791. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1561 W 7000 S STE 200
WEST JORDAN, UT
ZIP 84084-556
Phone: (801) 263-0717
Fax: (801) 266-2362

The provider's authorized official is Chris C Hakes .
The authorized official title is Owner and has the following contact phone number (801) 414-3252.

The CLIA number assigned to this NPI record is 46D2106026 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2014 and was last updated on 2/26/2021.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	364873-4405	UTAH	No
2	363LF0000X	Nurse Practitioner	Family	5244527-4405	UTAH	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: 4/28/2024

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