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AGELESS MEN'S HEALTH HOLDINGS INC NPI 1952822488


NPI Information

NPI: 1952822488
Provider Name: AGELESS MEN'S HEALTH HOLDINGS, INC

Doing Business As: AGELESS MEN'S HEALTH

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 46D2136658

Address:
960 W 800 N
OREM, UT
ZIP 84057
Phone: (801) 878-7411
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AGELESS MEN'S HEALTH HOLDINGS, INC is a medical specialty clinic center in Orem, UT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). AGELESS MEN'S HEALTH HOLDINGS, INC NPI is 1952822488. The provider is registered as an organization entity type.
The provider Is Doing Business As Ageless Men's Health.

The provider's business location address is:

960 W 800 N
OREM, UT
ZIP 84057-626
Phone: (801) 878-7411
Fax: (801) 878-4077

The provider's authorized official is Teah Michelle Smith .
The authorized official title is Credentialing Manager and has the following contact phone number (901) 205-3999.

The CLIA number assigned to this NPI record is 46D2136658 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2017 and was last updated on 11/13/2023.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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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