West Valley Family And Preventive Medicine

LBN: West Valley Family And Preventive Medicine
West Valley Family And Preventive Medicine is an health care organization with primary practice located at 4100 South 1778 West , West Valley City UT 84119. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. West Valley Family And Preventive Medicine can be contacted via phone (801) 964-8726, or through Campbell, Jessica Janae via phone (801) 964-8726.

Contact Information

Primary practice address
4100 South 1778 West West Valley City UT 84119
Phone: (801) 964-8726
Fax: (801) 968-9836
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Jessica Janae
Phone: (801) 964-8726

Health care specialties

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

Profile Details

NPI number 1326169632
LBN Legal business name West Valley Family And Preventive Medicine
DBA Doing business as West Valley Family And Preventive Medicine
Authorized official Campbell, Jessica Janae
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Apr 12th, 2024 - about last year

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 1326169632 NPPES
Utah MEDICAID 480025031002

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