Cottonwood Medical Clinic,Pllc
LBN: Cottonwood Medical Clinic,Pllc
Cottonwood Medical Clinic,Pllc is an health care organization with primary practice located at 6671 S Redwood Rd Ste 110, West Jordan UT 84084-7488. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as the primary health care specialty.
Cottonwood Medical Clinic,Pllc can be contacted via phone (801) 571-2452, or through Lapolla, Ann via phone (801) 231-4932.
Contact Information
Primary practice address
6671 S Redwood Rd Ste 110
West Jordan UT 84084-7488
Phone: (801) 571-2452
Fax: (866) 936-0188
Website:
Authorized official contact:
Name: Lapolla, Ann Advanced Practice Registered Nurse (APRN)
Phone: (801) 231-4932
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 364SA2100X | 2121144405 | Utah |
Profile Details
| NPI number | 1972992477 |
|---|---|
| LBN Legal business name | Cottonwood Medical Clinic,Pllc |
| DBA Doing business as | |
| Authorized official | Lapolla, Ann Advanced Practice Registered Nurse (APRN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 21st, 2015 |
| Last updated | Jan 30th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972992477 | NPPES |
| Utah | Other | 2121144405 | STATE LICENSE |
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