Southwest Family Medicine, Llc in West Jordan - Family Medicine
Southwest Family Medicine, Llc - NPI 1174707517
Southwest Family Medicine, Llc is a Family Medicine in West Jordan, Utah. Southwest Family Medicine, Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Southwest Family Medicine, Llc is 1174707517. The last update date is 2008-10-01.
Southwest Family Medicine, Llc's current location address is 1575 W 7000 S, West Jordan, Utah. You can contact this provider via phone number 8015699133 and fax number 8015699103. The mailing address for Southwest Family Medicine, Llc is 1575 W 7000 S, West Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwest Family Medicine, Llc |
|---|---|
| Address | 1575 W 7000 S, West Jordan, Utah |
| Phone Number | 8015699133 |
| Fax Number | 8015699103 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD / OWNER |
|---|---|
| Authorized Official Name | Watson L Randall |
| Credentials | MD |
| Telephone Number | 8015699133 |
NPI Number Detail
| NPI Number | 1174707517 |
|---|---|
| Provider Enumeration Date | 2007-12-20 |
| Last Updated Date | 2008-10-01 |
Provider Mailing Address Detail
| Address | 1575 W 7000 S |
|---|---|
| City | West Jordan |
| State | Utah (UT) |
| Post Code | 840843431 |
| Phone Number | 8015699133 |
| Fax Number | 8015699103 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1756991205 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1316986136 | UT | NPI REBECCA LEVINE, MD | |
| 58107 | UT | MEDICARE GROUP NUMBER | |
| 1386691251 | UT | NPI KATIE JULIEN, MD | |
| 1952341000 | UT | NPI | |
| 1174707517 | UT | GROUP / CORP NPI | |
| 57709 | UT | GROUP MEDICARE # JULIEN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southwest Family Medicine, Llc by the Centers for Medicare & Medicaid Services?
The Southwest Family Medicine, Llc has been assigned the NPI (National Provider Identifier) 1174707517 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Southwest Family Medicine, Llc is physically located?
The Southwest Family Medicine, Llc is physically situated at the following address: 1575 W 7000 S, West Jordan, UT, 840843431.
What is the Southwest Family Medicine, Llc's specialty and taxonomy code?
The Southwest Family Medicine, Llc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did Southwest Family Medicine, Llc receive its 1174707517 assignment from the Centers for Medicare & Medicaid Services?
The Southwest Family Medicine, Llc was assigned its 1174707517 on 2007-12-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Southwest Family Medicine, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Southwest Family Medicine, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-10-01.