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TRI CITY MEDICAL CLINIC INC NPI 1497976245


NPI Information

NPI: 1497976245
Provider Name: TRI CITY MEDICAL CLINIC INC

Doing Business As: PLEASANT GROVE FAMILY PRACTICE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
275 W 200 N
#100
LINDON, UT
ZIP 84042
Phone: (801) 443-1135
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TRI CITY MEDICAL CLINIC INC is a clinic center in Lindon, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TRI CITY MEDICAL CLINIC INC NPI is 1497976245. The provider is registered as an organization entity type.
The provider Is Doing Business As Pleasant Grove Family Practice.

The provider's business location address is:

275 W 200 N
#100
LINDON, UT
ZIP 84042
Phone: (801) 443-1135
Fax: (801) 756-1705

The provider's authorized official is Steven B Cherrington .
The authorized official title is Partner and has the following contact phone number (801) 443-1135.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 12/19/2008.


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
1261Q00000XClinic/CenterYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========001MEDICAIDUTAH
21018060001MEDICARE NSCUTAH
3000055159MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.