St. Mark'S Millcreek Primary Care

LBN: Mountainstar Medical Group-St. Marks Hospital, Llc
St. Mark'S Millcreek Primary Care is an health care organization with primary practice located at 348 E 4500 S Ste 300 , Salt Lake City UT 84107-8535. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mountainstar Medical Group-St. Marks Hospital, Llc can be contacted via phone (801) 266-2777, or through Joseph, Louis via phone (615) 373-7630.

Contact Information

Primary practice address
348 E 4500 S Ste 300 Salt Lake City UT 84107-8535
Phone: (801) 266-2777
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Joseph, Louis
Phone: (615) 373-7630

Health care specialties

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

Profile Details

NPI number 1073795258
LBN Legal business name Mountainstar Medical Group-St. Marks Hospital, Llc
DBA Doing business as St. Mark'S Millcreek Primary Care
Authorized official Joseph, Louis
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2007
Last updated Jan 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073795258 NPPES
Utah MEDICAID 1073795258

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