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PERRY FAMILY MEDICINE LLC NPI 1558653501


NPI Information

NPI: 1558653501
Provider Name: PERRY FAMILY MEDICINE LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1030 MEDICAL DR
SUITE A
BRIGHAM CITY, UT
ZIP 84302
Phone: (435) 723-4500
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PERRY FAMILY MEDICINE LLC is a clinic center in Brigham City, 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). PERRY FAMILY MEDICINE LLC NPI is 1558653501. The provider is registered as an organization entity type.

The provider's business location address is:

1030 MEDICAL DR
SUITE A
BRIGHAM CITY, UT
ZIP 84302-050
Phone: (435) 723-4500
Fax: (435) 723-4504

The provider's authorized official is Cynthia Lynn Duncan .
The authorized official title is Provider/owner and has the following contact phone number (801) 668-4860.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 3/21/2014.


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/Center277575-4405UTAHYes

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
1U000074157MEDICARE UPINUTAH

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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