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OGDEN CLINIC SPECIALTY SERVICES NPI 1861084949


NPI Information

NPI: 1861084949
Provider Name: OGDEN CLINIC SPECIALTY SERVICES
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
4700 HARRISON BLVD
OGDEN, UT
ZIP 84403
Phone: (801) 475-3160
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OGDEN CLINIC SPECIALTY SERVICES is a non pharmacy dispensing site in Ogden, UT. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) OGDEN CLINIC SPECIALTY SERVICES NPI is 1861084949. The provider is registered as an organization entity type.

The provider's business location address is:

4700 HARRISON BLVD
OGDEN, UT
ZIP 84403-303
Phone: (801) 475-3160

The provider's authorized official is Marchelle Jones .
The authorized official title is Credentialing Supervisor and has the following contact phone number (801) 475-3481.

The enumeration date for this NPI number is 2/9/2021 and was last updated on 2/16/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11114203668MEDICAIDUTAH

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

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