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INTERVENTIONAL MEDICAL CENTER NPI 1558871590


NPI Information

NPI: 1558871590
Provider Name: INTERVENTIONAL MEDICAL CENTER

Doing Business As: INTERVENTIONAL MEDICAL CENTER

Classification: Peer Specialist - 175T00000X
Entity Type: Organization

CLIA Number: 46D2164741

Address:
1972 W 5400 S
TAYLORSVILLE, UT
ZIP 84129
Phone: (801) 998-8256
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INTERVENTIONAL MEDICAL CENTER is a peer specialist in Taylorsville, UT. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. INTERVENTIONAL MEDICAL CENTER NPI is 1558871590. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Interventional Medical Center.

The provider's business location address is:

1972 W 5400 S
TAYLORSVILLE, UT
ZIP 84129-459
Phone: (801) 998-8256
Fax: (801) 849-0340

The provider's authorized official is Jennie N Nguyen .
The authorized official title is Manager and has the following contact phone number (801) 679-3488.

The CLIA number assigned to this NPI record is 46D2164741 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/4/2017 and was last updated on 10/24/2017.


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
1175T00000XPeer SpecialistYes

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

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.