MOUNTAIN MEDICAL URGENT CARE


Address: 127 East Main Street, Suite E, Lehi, UT 84043
Phone: 8017681555

MOUNTAIN MEDICAL URGENT CARE (NPI# 1093834038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093834038
Entity Type Organization
Organization Name MOUNTAIN MEDICAL URGENT CARE
Practice Address 127 East Main Street
Suite E
Lehi
UT 84043
Mailing Address 1311 E Willow Springs Cir
Alpine
UT 84004-1790
Practice Telephone 8017681555
Practice Fax Number 8017681569
Mailing Telephone 8017566086
Enumeration Date 2007-03-29
Last Update Date 2020-08-22
Authorized Official Name DR. STEVEN R. PACK (OWNER)
Authorized Official Telephone 8017681555
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0002X Clinic/Center
Specialization: Emergency Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
UT 529087890001 05

Office Location

Street Address 127 EAST MAIN STREET
SUITE E
City LEHI
State UT
Zip Code 84043

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Taxonomy Information

Taxonomy Code 261QE0002X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Emergency Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851915052 Royall Em LLC Clinic/Center 300 N Hospital Dr, Price, UT 84501-4218 2020-06-03
1245639962 Wasatch Mental Health Clinic/Center 750 N Freedom Blvd, Provo, UT 84601-1677 2014-08-19
1114121100 San Juan County Hospital Clinic/Center 380 West 100 North, Monticello, UT 84535-0308 2007-06-13

Competitor

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City LEHI
Zip Code 84043

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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