Elk Ridge Family Practice Pc

LBN: Elk Ridge Family Practice Pc
Elk Ridge Family Practice Pc is an health care organization with primary practice located at 1172 E 100 N Ste 11 , Payson UT 84651-1668. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Elk Ridge Family Practice Pc can be contacted via phone (801) 465-6100, or through Concoby, Dennis Michael via phone (801) 465-6100.

Contact Information

Primary practice address
1172 E 100 N Ste 11 Payson UT 84651-1668
Phone: (801) 465-6100
Fax: (801) 465-6114
Website:
Map and Directions
Authorized official contact:
Name: Concoby, Dennis Michael Doctor of Osteopathy (DO)
Phone: (801) 465-6100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5656211-1204 Utah

Profile Details

NPI number 1356519656
LBN Legal business name Elk Ridge Family Practice Pc
DBA Doing business as
Authorized official Concoby, Dennis Michael Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2008
Last updated Nov 1st, 2012 - about 13 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 1356519656 NPPES
Utah MEDICAID 530117654001

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