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HEALTH CLINICS OF UTAH NPI 1982669982


NPI Information

NPI: 1982669982
Provider Name: HEALTH CLINICS OF UTAH

Other Name: STATE OF UTAH

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
150 E. CENTER ST.
#1100
PROVO, UT
ZIP 84606
Phone: (801) 374-7011
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HEALTH CLINICS OF UTAH is a public health and state or local clinic center in Provo, UT. HEALTH CLINICS OF UTAH NPI is 1982669982. The provider is registered as an organization entity type.
The provider Other Name Is State Of Utah.

The provider's business location address is:

150 E. CENTER ST.
#1100
PROVO, UT
ZIP 84606
Phone: (801) 374-7011
Fax: (801) 374-7009

The provider's authorized official is Stacey Marie Keyes .
The authorized official title is Health Program Representative-bille and has the following contact phone number (801) 626-3353.

The enumeration date for this NPI number is 4/20/2006 and was last updated on 5/18/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP0905XClinic/CenterPublic Health, State or Local105991-1206UTAHNo
2261QP0905XClinic/CenterPublic Health, State or Local285456-4405UTAHNo
3261QP0905XClinic/CenterPublic Health, State or Local1610961205UTAHYes

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
1000055211MEDICARE UPINUTAH
205664MEDICAIDUTAH
3000000205MEDICARE PINUTAH
4S48215MEDICARE UPINUTAH
5000055211MEDICARE PINUTAH
6D5023MEDICARE UPINUTAH
705665MEDICAIDUTAH
8535501136001MEDICAIDUTAH
9D20267MEDICARE UPINUTAH

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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