South Jordan Family Medicine

LBN: St. Mark'S South Jordan Family Practice Llc
South Jordan Family Medicine is an health care organization with primary practice located at 10623 S Redwood Rd Suite 101, South Jordan UT 84095-2481. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. St. Mark'S South Jordan Family Practice Llc can be contacted via phone (801) 302-0899, or through Kane, David J. via phone (801) 568-5999.

Contact Information

Primary practice address
10623 S Redwood Rd Suite 101 South Jordan UT 84095-2481
Phone: (801) 302-0899
Fax: (801) 302-0892
Website:
Map and Directions
Authorized official contact:
Name: Kane, David J.
Phone: (801) 568-5999

Health care specialties

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

Profile Details

NPI number 1982871828
LBN Legal business name St. Mark'S South Jordan Family Practice Llc
DBA Doing business as South Jordan Family Medicine
Authorized official Kane, David J.
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2008
Last updated May 20th, 2010 - about 15 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 1982871828 NPPES
Utah MEDICAID 1982871828

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