MOONLIGHTING INC NPI 1366758591

NPI Information

NPI: 1366758591
Provider Name: MOONLIGHTING INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
14728 PRISTINE DR
DRAPER, UT
ZIP 84020
Phone: (801) 599-3450
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MOONLIGHTING INC is a community health clinic center in Draper, UT. MOONLIGHTING INC NPI is 1366758591. The provider is registered as an organization entity type.

The provider's business location address is:

14728 PRISTINE DR
DRAPER, UT
ZIP 84020-642
Phone: (801) 599-3450

The provider's authorized official is Layne Kilpatrick .
The authorized official title is President, Ceo and has the following contact phone number (801) 599-3450.

The enumeration date for this NPI number is 8/25/2010 and was last updated on 8/25/2010.

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: 4/28/2024

NPI Synchronization or Removal

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