TIMPANOGOS FAMILY MEDICINE LLC NPI 1568517894

NPI Information

NPI: 1568517894
Provider Name: TIMPANOGOS FAMILY MEDICINE, LLC
Classification: Clinic/Center - 261QF0050X
Entity Type: Organization

Specialization: Family Planning, Non-Surgical

CLIA Number: 46D0979491

Address:
423 N OREM BLVD
OREM, UT
ZIP 84057
Phone: (801) 426-8141
Get Directions

TIMPANOGOS FAMILY MEDICINE, LLC is a family planning and non-surgical clinic center in Orem, UT. The provider is an entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. TIMPANOGOS FAMILY MEDICINE, LLC NPI is 1568517894. The provider is registered as an organization entity type.

The provider's business location address is:

423 N OREM BLVD
OREM, UT
ZIP 84057-813
Phone: (801) 426-8141
Fax: (801) 426-8142

The provider's authorized official is Donald Neal Harline .
The authorized official title is Medical Doctor and has the following contact phone number (801) 426-8141.

The CLIA number assigned to this NPI record is 46D0979491 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 4/24/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	30880353-1205	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	107008924101	OTHER	UTAH	SELECT HEALTH
2	46D0979491	OTHER	UTAH	CLIA
3	H24364	MEDICARE UPIN	UTAH
4	552530959002	MEDICAID	UTAH
5	30880351204001	OTHER	UTAH	BLUE CROSS BLUE SHIELD
6	000012347	MEDICARE ID-TYPE UNSPECIFIED	UTAH	MEDICARE B

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

NPI Synchronization or Removal

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