Highland Family Practice
LBN: Highland Medical Pllc
Highland Family Practice is an health care organization with primary practice located at 4460 Highland Dr Ste 400, Salt Lake City UT 84124-3565. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Managed Care Organizations / Preferred Provider Organization. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Highland Medical Pllc can be contacted via phone (801) 272-4111, or through Muse, Derek David via phone (801) 272-4111.
Contact Information
Primary practice address
4460 Highland Dr Ste 400
Salt Lake City UT 84124-3565
Phone: (801) 272-4111
Fax: (801) 272-5989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1813021205 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3484061205 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3655121205 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2763721206 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2879974405 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1045691206 | Utah |
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 1813021205 | Utah |
Profile Details
| NPI number | 1215010327 |
|---|---|
| LBN Legal business name | Highland Medical Pllc |
| DBA Doing business as | Highland Family Practice |
| Authorized official | Muse, Derek David Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Mar 10th, 2008 - about 16 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 | 1215010327 | NPPES |
| Utah | MEDICAID | 528940093006 |
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