Highland Medical Pllc in Salt Lake City - Preferred Provider Organization

Highland Medical Pllc - NPI 1215010327

Highland Medical Pllc is a Preferred Provider Organization in Salt Lake City, Utah. Highland Medical Pllc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Highland Medical Pllc is 1215010327. The last update date is 2008-03-10.

Highland Medical Pllc's current location address is 4460 So Highland Dr, Salt Lake City, Utah. You can contact this provider via phone number 8012724111 and fax number 8012725989. The mailing address for Highland Medical Pllc is 4460 So Highland Dr, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Highland Medical Pllc
Address 4460 So Highland Dr, Salt Lake City, Utah
Phone Number 8012724111
Fax Number 8012725989
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Muse David Derek
Credentials MD
Telephone Number 8012724111

NPI Number Detail

NPI Number 1215010327
Provider Enumeration Date 2006-10-23
Last Updated Date 2008-03-10

Provider Mailing Address Detail

Address 4460 So Highland Dr
City Salt Lake City
State Utah (UT)
Post Code 84124
Phone Number 8012724111
Fax Number 8012725989

Provider's Primary Taxonomy Detail

Speciality Preferred Provider Organization
Taxonomy 305R00000X
Licence No 1813021205
Definition:
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
528940093006 UT --

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FAQs about Highland Medical Pllc

What is the unique 10-digit identifier code issued to Highland Medical Pllc by the Centers for Medicare & Medicaid Services?

The Highland Medical Pllc has been assigned the NPI (National Provider Identifier) 1215010327 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Highland Medical Pllc's facilities are geographically located?

The facilities of Highland Medical Pllc are physically situated at the following location: 4460 So Highland Dr, Salt Lake City, UT, 84124.

What is Highland Medical Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Highland Medical Pllc is Preferred Provider Organization, and the taxonomy code that categorizes this field of expertise is 305R00000X.

On what date did the Highland Medical Pllc receive its 1215010327 assignment from the Centers for Medicare & Medicaid Services?

The Highland Medical Pllc was assigned its 1215010327 by the Centers for Medicare & Medicaid Services on 2006-10-23.

As of what date were the details related to Highland Medical Pllc most recently updated or revised?

The information pertaining to Highland Medical Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-10.

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