HILLSIDE MEDICAL CLINIC LLC (NPI# 1770853962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770853962 |
| Entity Type | Organization |
| Organization Name | HILLSIDE MEDICAL CLINIC LLC |
| Practice Address |
118 N Main St Ste B Salem UT 84653-5698 |
| Practice Telephone | 8014779007 |
| Practice Fax Number | 8014779006 |
| Mailing Telephone | 8014779007 |
| Mailing Fax Number | 8014779006 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-12 |
| Authorized Official Name | MR. CHAD A PARRISH (ADMINISTRATOR) |
| Authorized Official Telephone | 8014779007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
118 N MAIN ST STE B |
| City | SALEM |
| State | UT |
| Zip Code | 84653-5698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831398122 | Karlen E Luthy | Nurse Practitioner | 118 N Main St Ste B, Salem, UT 84653-5698 | 2007-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487008603 | Douglas Robert Clark | Optometrist | 446 N State Road 198, Salem, UT 84653 | 2016-04-14 |
| 1811357791 | Melanie Pace | Dental Hygienist | 818 East 750 South, Salem, UT 84653 | 2016-03-04 |
| 1265773899 | Bill Clifford Marshall | Marriage & Family Therapist | 405 S Maple Dr, Woodland Hills, UT 84653 | 2013-03-06 |
| 1013159995 | Elder Assisted Living LLC | Assisted Living Facility | 1015 S 550 W, Salem, UT 84653 | 2009-03-24 |
| 1780884247 | David Kent Hansen | Dentist | 204 East 400 North, Suite A, Salem, UT 84653 | 2007-07-23 |
| 1154524965 | Justin Thomas Perry | Dentist | 40 South 200 West, Salem, UT 84653 | 2007-06-08 |
| 1013130947 | John E Braithwaite | Dentist | 40 S 200 W, Salem, UT 84653 | 2007-04-10 |
| 1104972827 | Salem City Corporation | Ambulance | 30 W 100 S, Salem, UT 84653 | 2007-01-26 |
| 1700989209 | James Bryan Bonny | Dentist | 245 W State Hwy 198, Suite 6, Salem, UT 84653 | 2006-09-07 |
| 1578574570 | Kids Who Count | Day Training, Developmentally Disabled Services | 345 N Sr 198, Salem, UT 84653 | 2006-08-11 |
| Find all providers in zip 84653 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1306274428 | Five Red Car Day LLC | Clinic/Center | 4744 Liberty Rd S, Suite 120, Salem, OR 97302-5181 | 2013-10-29 |
| 1114177557 | Salem Memorial Hospital | Clinic/Center | 35629 Hwy. 72, Bld. 3, Salem, MO 65560-0719 | 2008-09-23 |
| 1831719244 | Abigail Bisson Nd Corp | Clinic/Center | 1205 Wallace Rd Nw, Salem, OR 97304-3007 | 2020-04-26 |
| 1326691486 | Livingston Hospital and Healthcare Services, Inc. | Clinic/Center | 117 E Main St, Salem, KY 42078-9998 | 2019-07-18 |
| 1033654793 | Phoenix Rising Family Medicine LLC | Clinic/Center | 810 Commercial St Se, Salem, OR 97302 | 2017-01-04 |
| 1689128308 | Salem Health | Clinic/Center | 2925 River Rd S, Salem, OR 97302-3677 | 2016-08-10 |
| 1356739593 | Quad Med LLC | Clinic/Center | 201 Jeans Dr, Salem, IN 47167-9200 | 2014-12-22 |
| 1871919639 | H. Thomas Harvey | Clinic/Center | 2995 Ryan Dr Se, Suite 200, Salem, OR 97301-5157 | 2014-03-17 |
| 1649522897 | Brmc Clinic At Salem, Arkansas | Clinic/Center | 106 Highway 62 W, Salem, AR 72576-8059 | 2012-10-12 |
| Find all providers in SALEM | ||||
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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.