MONOVO LLC NPI 1457058646

NPI Information

NPI: 1457058646
Provider Name: MONOVO LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2578 W 600 N STE 201
LINDON, UT
ZIP 84042
Phone: (801) 896-9868
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MONOVO LLC is a primary care clinic center in Lindon, UT. MONOVO LLC NPI is 1457058646. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2578 W 600 N STE 201
LINDON, UT
ZIP 84042-260
Phone: (801) 896-9868

The provider's authorized official is James Clark .
The authorized official title is Chief Medical Officer (cmo) and has the following contact phone number (801) 576-6417.

The enumeration date for this NPI number is 2/8/2023 and was last updated on 2/17/2023.

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	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
2	363LP2300X	Nurse Practitioner	Primary Care	No
3	363A00000X	Physician Assistant		No
4	363L00000X	Nurse Practitioner		No
5	363LF0000X	Nurse Practitioner	Family	No
6	207Q00000X	Family Medicine		No
7	261QH0100X	Clinic/Center	Health Service	No
8	261QP2300X	Clinic/Center	Primary Care	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1396493086	MEDICAID	UTAH
2	1407407679	MEDICAID	UTAH
3	1205288628	MEDICAID	UTAH
4	1275576274	MEDICAID	UTAH
5	1578118659	MEDICAID	UTAH

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: 5/5/2024

NPI Synchronization or Removal

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