Northeastern Utah Medical Group

LBN: Northeastern Utah Medical Group
Northeastern Utah Medical Group is an health care organization with primary practice located at 210 W 300 N 7-3 , Roosevelt UT 84066. The organization recently has 11 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Northeastern Utah Medical Group can be contacted via phone (435) 722-3971, or through Morris, Karli via phone (435) 725-7448.

Contact Information

Primary practice address
210 W 300 N 7-3 Roosevelt UT 84066
Phone: (435) 722-3971
Fax: (435) 722-6104
Website:
Map and Directions
Authorized official contact:
Name: Morris, Karli
Phone: (435) 725-7448

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1982664199
LBN Legal business name Northeastern Utah Medical Group
DBA Doing business as
Authorized official Morris, Karli
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated May 14th, 2019 - about 6 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 1982664199 NPPES
Utah MEDICAID 840276435084

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