Ogden Clinic Specialty Services

LBN: Ogden Clinic Specialty Services
Ogden Clinic Specialty Services is an health care organization with primary practice located at 4700 Harrison Blvd , Ogden UT 84403-4303. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Ogden Clinic Specialty Services can be contacted via phone (801) 475-3160, or through Jones, Marchelle via phone (801) 475-3481.

Contact Information

Primary practice address
4700 Harrison Blvd Ogden UT 84403-4303
Fax:
Website:
Authorized official contact:
Name: Jones, Marchelle

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1861084949
LBN Legal business name Ogden Clinic Specialty Services
DBA Doing business as
Authorized official Jones, Marchelle
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 9th, 2021
Last updated Feb 16th, 2021 - about 3 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 1861084949 NPPES
Utah MEDICAID 1114203668

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