Shadow Mountain Family Medicine Llc in West Jordan - Family Medicine
Shadow Mountain Family Medicine Llc - NPI 1225294697
Shadow Mountain Family Medicine Llc is a Family Medicine in West Jordan, Utah. Shadow Mountain Family Medicine Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shadow Mountain Family Medicine Llc is 1225294697. The last update date is 2009-06-04.
Shadow Mountain Family Medicine Llc's current location address is 3855 W 7800 S, West Jordan, Utah. You can contact this provider via phone number 8012825952 and fax number 8012825951. The mailing address for Shadow Mountain Family Medicine Llc is 3855 W 7800 S, West Jordan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shadow Mountain Family Medicine Llc |
|---|---|
| Address | 3855 W 7800 S, West Jordan, Utah |
| Phone Number | 8012825952 |
| Fax Number | 8012825951 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP |
|---|---|
| Authorized Official Name | Kane J. David |
| Telephone Number | 8015685999 |
NPI Number Detail
| NPI Number | 1225294697 |
|---|---|
| Provider Enumeration Date | 2008-08-05 |
| Last Updated Date | 2009-06-04 |
Provider Mailing Address Detail
| Address | 3855 W 7800 S |
|---|---|
| City | West Jordan |
| State | Utah (UT) |
| Post Code | 840885560 |
| Phone Number | 8012825952 |
| Fax Number | 8012825951 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1225294697 | UT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shadow Mountain Family Medicine Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Shadow Mountain Family Medicine Llc has been assigned the NPI (National Provider Identifier) 1225294697. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Shadow Mountain Family Medicine Llc?
The Shadow Mountain Family Medicine Llc is physically situated at 3855 W 7800 S, in the city of West Jordan, state of UT, with the postal code 840885560.
What is Shadow Mountain Family Medicine Llc's area of expertise and its corresponding taxonomy classification?
The Shadow Mountain Family Medicine Llc's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When did the Shadow Mountain Family Medicine Llc receive its 1225294697?
The Shadow Mountain Family Medicine Llc was issued its 1225294697 on 2008-08-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Shadow Mountain Family Medicine Llc last refreshed?
The information related to the Shadow Mountain Family Medicine Llc, including its address, specialty, and other relevant details, was last updated on 2009-06-04.
Address: 2929 E Thomas Rd, Phoenix, AZ
Address: 5450 Frantz Rd Ste 360, Dublin, OH
Address: Po Box 9, Kingsport, TN
Address: 716 West Columbia Street, Chippewa Falls, WI
Address: 220 Pine St, Williamstown, NJ
Address: 220 Pine St, Williamstown, NJ
Address: Po Box 778, Dickson, TN
Address: 1701n Green Valley Pkwy 5c, Henderson, NV
Address: 500 Old York Road, Jenkintown, PA
Address: Po Box 19070, Green Bay, WI
Address: 1001 W Fayette St, Syracuse, NY
Address: 500 Fort Worth Dr Ste 140, Denton, TX
Address: 75 Hospital Dr, Athens, OH
Address: 1275 Dick Lonas Rd Unit 101, Knoxville, TN
Address: 128 N Locust St, Oak Harbor, OH