Cottontree Family Practice

LBN: Cottontree Family Practice
Cottontree Family Practice is an health care organization with primary practice located at 2230 N University Pkwy Suite 1A, Provo UT 84604-1509. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Cottontree Family Practice can be contacted via phone (801) 377-3413, or through Manhart, Shauna via phone (801) 377-3413.

Contact Information

Primary practice address
2230 N University Pkwy Suite 1A Provo UT 84604-1509
Phone: (801) 377-3413
Fax: (801) 655-1890
Website:
Map and Directions
Authorized official contact:
Name: Manhart, Shauna
Phone: (801) 377-3413

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Utah

Profile Details

NPI number 1407036189
LBN Legal business name Cottontree Family Practice
DBA Doing business as
Authorized official Manhart, Shauna
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2007
Last updated Sep 5th, 2013 - about 11 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 1407036189 NPPES
Utah MEDICAID 1407036189

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