INDEPENDENCE PHYSICIAN AND RESOURCE NPI 1851785919

NPI Information

  • NPI: 1851785919
  • Provider Name: INDEPENDENCE PHYSICIAN AND RESOURCE
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 46D2042225
  • Address: 640 S 500 W
    BOUNTIFUL, UT
    ZIP 84010
  • Phone: (801) 298-1100

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NPI Details

INDEPENDENCE PHYSICIAN AND RESOURCE is a general practice in Bountiful, UT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee INDEPENDENCE PHYSICIAN AND RESOURCE NPI is 1851785919. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

640 S 500 W
BOUNTIFUL, UT
ZIP 84010-210
Phone: (801) 298-1100
Fax: (801) 298-1988

The provider's authorized official is Daniel Frasure .
The authorized official title is Managing Partner and has the following contact phone number (801) 698-8927.

The CLIA number assigned to this NPI record is 46D2042225 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2015 and was last updated on 4/3/2015.

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
11041C0700XSocial WorkerClinicalNo
2208D00000XGeneral PracticeYes

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: 3/30/2025

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