CAMPBELL CHIROPRACTIC CLINIC (NPI# 1619240561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619240561 |
| Entity Type | Organization |
| Organization Name | CAMPBELL CHIROPRACTIC CLINIC |
| Practice Address |
115 Fort Union Blvd Midvale UT 84047-1533 |
| Practice Telephone | 8015664357 |
| Practice Fax Number | 8015664476 |
| Mailing Telephone | 8015664357 |
| Mailing Fax Number | 8015664476 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | KAYLA LARSEN (MANAGER) |
| Authorized Official Telephone | 8015664357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
165972-1202 | UT | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | CAMPBELL CHIROPRACTIC CLINIC, P.C. | 2070 Little Cedar Dr., Kingwood, TX 77339 |
| Street Address |
115 FORT UNION BLVD |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013023282 | Craig D Campbell | Chiropractor | 115 Fort Union Blvd, Midvale, UT 84047-1533 | 2006-08-21 |
| 1275752164 | David Thomas Smith | Chiropractor | 115 Fort Union Blvd, Midvale, UT 84047-1533 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417596339 | Adams Chiropractic Inc. | Clinic/Center | 3336 S Pioneer Pkwy Ste 202, West Valley City, UT 84120-2080 | 2019-12-23 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1497316905 | The West Clinic Draper | Clinic/Center | 12371 S 900 E, Draper, UT 84020-9833 | 2019-06-25 |
| 1235691510 | Desert Bloom Plastic Surgery LLC | Clinic/Center | 446 S Mall Dr Ste 1, St George, UT 84790-4944 | 2019-04-04 |
| 1568952190 | Bear River Valley Medical LLC | Clinic/Center | 9825 N 10800 W, Tremonton, UT 84337-9222 | 2018-05-18 |
| 1376944942 | Legacy Dermatology | Clinic/Center | 320 W 500 S, Suite 210, Bountiful, UT 84010-7218 | 2014-09-14 |
| 1821417684 | James E Wellman Md | Clinic/Center | 5998 Spring Canyon Rd, Ogden, UT 84403-5476 | 2014-04-09 |
| 1255769386 | Slc Diagnostic Imaging | Clinic/Center | 6202 W Freedom Hill Way, Herriman, UT 84096-6987 | 2013-10-29 |
| 1013269406 | Cnm | Clinic/Center | 4749 S Holladay Blvd, Holladay, UT 84117-5420 | 2012-10-09 |
| 1023381241 | Clifford G Harman | Clinic/Center | 12091 Lampton View Dr, Riverton, UT 84065-7834 | 2012-02-18 |
| Find all providers with the same taxonomy | ||||
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| 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.