Ogden Clinic Pc in Ogden - Nurse Practitioner
Ogden Clinic Pc - NPI 1578550083
Ogden Clinic Pc is a Nurse Practitioner in Ogden, Utah. Ogden Clinic Pc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Ogden Clinic Pc is 1578550083. The last update date is 2021-02-03.
Ogden Clinic Pc's current location address is 4650 Harrison Blvd, Ogden, Utah. You can contact this provider via phone number 8014753000 and fax number 8014753000. The mailing address for Ogden Clinic Pc is 4650 Harrison Blvd, Ogden, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ogden Clinic Pc |
|---|---|
| Address | 4650 Harrison Blvd, Ogden, Utah |
| Phone Number | 8014753000 |
| Fax Number | 8014753000 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BOARD PRES |
|---|---|
| Authorized Official Name | Tingey Chad |
| Credentials | MD |
| Telephone Number | 8014753481 |
NPI Number Detail
| NPI Number | 1578550083 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2021-02-03 |
Provider Mailing Address Detail
| Address | 4650 Harrison Blvd |
|---|---|
| City | Ogden |
| State | Utah (UT) |
| Post Code | 844034303 |
| Phone Number | 8014753000 |
| Fax Number | 8014753000 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Ogden Clinic Pc's unique identification number?
The Ogden Clinic Pc has been assigned the NPI (National Provider Identifier) Number 1578550083 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Ogden Clinic Pc?
The Ogden Clinic Pc is physically situated at 4650 Harrison Blvd, in the city of Ogden, state of UT, with the postal code 844034303.
What is the Ogden Clinic Pc's area of specialization and corresponding taxonomy classification?
The Ogden Clinic Pc's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
When was the Ogden Clinic Pc's 1578550083 issued?
The Ogden Clinic Pc's 1578550083 was issued on 2005-09-29.
When was the information regarding Ogden Clinic Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ogden Clinic Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-02-03.