Physician Group Of Utah Inc

LBN: Physician Group Of Utah Inc
Physician Group Of Utah Inc is an health care organization with primary practice located at 406 W South Jordan Pkwy Suite 500, South Jordan UT 84095-3965. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Physician Group Of Utah Inc can be contacted via phone (801) 984-3418, or through Koch, Ashley via phone (617) 562-7070.

Contact Information

Primary practice address
406 W South Jordan Pkwy Suite 500 South Jordan UT 84095-3965
Phone: (801) 984-3418
Fax: (801) 984-3479
Website:
Map and Directions
Authorized official contact:
Name: Koch, Ashley
Phone: (617) 562-7070

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1477676930
LBN Legal business name Physician Group Of Utah Inc
DBA Doing business as
Authorized official Koch, Ashley
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
Last updated Mar 6th, 2020 - about 4 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 1477676930 NPPES
Utah MEDICAID 1477676930

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