HILLSIDE MEDICAL CLINIC LLC NPI 1770853962

NPI Information

NPI: 1770853962
Provider Name: HILLSIDE MEDICAL CLINIC LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 46D2034725

Address:
118 N MAIN ST STE B
SALEM, UT
ZIP 84653
Phone: (801) 477-9007
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HILLSIDE MEDICAL CLINIC LLC is a primary care clinic center in Salem, UT. HILLSIDE MEDICAL CLINIC LLC NPI is 1770853962. The provider is registered as an organization entity type.

The provider's business location address is:

118 N MAIN ST STE B
SALEM, UT
ZIP 84653-698
Phone: (801) 477-9007
Fax: (801) 477-9006

The provider's authorized official is Chad A Parrish .
The authorized official title is Administrator and has the following contact phone number (801) 477-9007.

The CLIA number assigned to this NPI record is 46D2034725 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2012 and was last updated on 1/12/2012.

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	261QP2300X	Clinic/Center	Primary Care			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: 5/5/2024

NPI Synchronization or Removal

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