MTC MEDICAL LLC NPI 1720759236

NPI Information

NPI: 1720759236
Provider Name: MTC MEDICAL, LLC
Classification: Clinic/Center - 261QP2400X
Entity Type: Organization

Specialization: Prison Health

Address:
500 N MARKET PLACE DR STE 100
CENTERVILLE, UT
ZIP 84014
Phone: (801) 693-2918
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MTC MEDICAL, LLC is a prison health clinic center in Centerville, UT. MTC MEDICAL, LLC NPI is 1720759236. The provider is registered as an organization entity type.

The provider's business location address is:

500 N MARKET PLACE DR STE 100
CENTERVILLE, UT
ZIP 84014-711
Phone: (801) 693-2918

The provider's authorized official is Gabe Utley .
The authorized official title is Finance Director and has the following contact phone number (801) 693-2918.

The enumeration date for this NPI number is 9/23/2021 and was last updated on 9/23/2021.

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	261QM1300X	Clinic/Center	Multi-Specialty			No
2	261QP2400X	Clinic/Center	Prison Health			Yes

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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