MIDVALE FAMILY HEALTH CLINIC INC NPI 1497702112

NPI Information

NPI: 1497702112
Provider Name: MIDVALE FAMILY HEALTH CLINIC INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7852 PIONEER ST
MIDVALE, UT
ZIP 84047
Phone: (801) 561-2211
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MIDVALE FAMILY HEALTH CLINIC INC is a primary care clinic center in Midvale, UT. MIDVALE FAMILY HEALTH CLINIC INC NPI is 1497702112. The provider is registered as an organization entity type.

The provider's business location address is:

7852 PIONEER ST
MIDVALE, UT
ZIP 84047-415
Phone: (801) 561-2211
Fax: (801) 561-1076

The provider's authorized official is Kimberly Ann Spangrude .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (801) 561-2211.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 3/16/2010.

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	261QP2300X	Clinic/Center	Primary Care	223145-4405,	UTAH	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	Other Provider Identifier Issuer
1	571963692001	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: 11/14/2023

NPI Synchronization or Removal

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