Cascade Foot And Ankle Clinic Pc

LBN: Cascade Foot And Ankle Clinic Pc
Cascade Foot And Ankle Clinic Pc is an health care organization with primary practice located at 1973 N State St , Provo UT 84604-5711. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Cascade Foot And Ankle Clinic Pc can be contacted via phone (801) 373-2499, or through Clegg, Jared T via phone (801) 373-2499.

Contact Information

Primary practice address
1973 N State St Provo UT 84604-5711
Phone: (801) 373-2499
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clegg, Jared T Doctor of Podiatric Medicine (DPM)
Phone: (801) 373-2499

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 3709460501 Utah

Profile Details

NPI number 1942338496
LBN Legal business name Cascade Foot And Ankle Clinic Pc
DBA Doing business as
Authorized official Clegg, Jared T Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Jun 13th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942338496 NPPES
Utah MEDICAID 528217084001

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