Health Diversified - Medical Group Of Utah Llc

LBN: Health Diversified - Medical Group Of Utah Llc
Health Diversified - Medical Group Of Utah Llc is an health care organization with primary practice located at 4544 S Holladay Blvd , Holladay UT 84117-4404. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical, Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Agencies / Case Management, Ambulatory Health Care Facilities / Corporate Health, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Health Diversified - Medical Group Of Utah Llc can be contacted via phone (801) 682-6817, or through Smith, Ann via phone (801) 682-6817.

Contact Information

Primary practice address
4544 S Holladay Blvd Holladay UT 84117-4404
Phone: (801) 682-6817
Fax: (385) 213-0356
Website:
Map and Directions
Authorized official contact:
Name: Smith, Ann
Phone: (801) 682-6817

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Agencies / Case Management 251B00000X
Ambulatory Health Care Facilities / Corporate Health 261QC1800X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1508518085
LBN Legal business name Health Diversified - Medical Group Of Utah Llc
DBA Doing business as
Authorized official Smith, Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2022
Last updated Sep 15th, 2023 - about last year

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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