MOUNTAIN UTAH FAMILY MEDICINE NPI 1659402774

NPI Information

NPI: 1659402774
Provider Name: MOUNTAIN UTAH FAMILY MEDICINE
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 46D0902691

Address:
850 NORTH MAIN ST
STE 3
RICHFIELD, UT
ZIP 84701
Phone: (435) 896-9561
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MOUNTAIN UTAH FAMILY MEDICINE is a rural health clinic center in Richfield, UT. MOUNTAIN UTAH FAMILY MEDICINE NPI is 1659402774. The provider is registered as an organization entity type.

The provider's business location address is:

850 NORTH MAIN ST
STE 3
RICHFIELD, UT
ZIP 84701-848
Phone: (435) 896-9561

The provider's authorized official is David M Pope .
The authorized official title is Md and has the following contact phone number (435) 896-9561.

The CLIA number assigned to this NPI record is 46D0902691 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 5/10/2010.

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	261QR1300X	Clinic/Center	Rural Health	463813	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	528925279034	MEDICAID	UTAH
2	463813	MEDICARE OSCAR/CERTIFICATION	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: 4/28/2024

NPI Synchronization or Removal

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