University Primary Care Sports Med
LBN: University Primary Care Sports Med
University Primary Care Sports Med is an health care organization with primary practice located at 555 Foothill Dr , Salt Lake City UT 84112-1106. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty.
University Primary Care Sports Med can be contacted via phone (801) 585-5382, or through Magill, Michael K via phone (801) 585-5382.
Contact Information
Primary practice address
555 Foothill Dr
Salt Lake City UT 84112-1106
Phone: (801) 585-5382
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X |
Profile Details
| NPI number | 1699796706 |
|---|---|
| LBN Legal business name | University Primary Care Sports Med |
| DBA Doing business as | |
| Authorized official | Magill, Michael K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Sep 6th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699796706 | NPPES |
| Idaho | Other | 807551900 | IDAHO MEDICAID |
| Idaho | Other | DG1456 | IDAHO MEDICAID |
| Idaho | Other | 100510167 | IDAHO MEDICAID |
| Idaho | Other | 123613000 | IDAHO MEDICAID |
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