CALTONHARRISON CLINIC (NPI# 1770903700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770903700 |
Entity Type | Organization |
Organization Name | CALTONHARRISON CLINIC |
Other Organization Name | IHC HEALTH CENTERES |
Practice Address |
4403 Harrison Blvd Suite 2400 Ogden UT 84403-3271 |
Practice Telephone | 8013872750 |
Practice Fax Number | 8013872755 |
Mailing Telephone | 8013872750 |
Mailing Fax Number | 8013872755 |
Enumeration Date | 2014-04-17 |
Last Update Date | 2014-04-17 |
Authorized Official Name | MRS. DAWNELLE WILLEY (BILLING LEAD) |
Authorized Official Telephone | 8013872750 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
Other Name | Type Code |
---|---|
IHC Health Centeres | Doing Business As Name - Organization |
Street Address |
4403 HARRISON BLVD SUITE 2400 |
City | OGDEN |
State | UT |
Zip Code | 84403-3271 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518962794 | Fred George Seale Iv | Obstetrics & Gynecology | 4403 Harrison Blvd, Ste 4650, Ogden, UT 84403-3271 | 2005-06-15 |
1720502859 | Derek Smith | Physician Assistant | 4403 Harrison Blvd, Ogden, UT 84403-3271 | 2017-07-31 |
1245766393 | Jacob Saunders | Student in an Organized Health Care Education/Training Program | 4403 Harrison Blvd, Suite A-700, Ogden, UT 84403-3271 | 2017-05-11 |
1043746191 | Haleigh Emerson | Family Medicine | 4403 Harrison Blvd, Suite A700, Ogden, UT 84403-3271 | 2017-05-11 |
1457887507 | Madison Beatty | Student in an Organized Health Care Education/Training Program | 4403 Harrison Blvd, Suite A700, Ogden, UT 84403 | 2017-05-11 |
1669908711 | Spencer Ruben | Student in an Organized Health Care Education/Training Program | 4403 Harrison Blvd, Suite A700, Ogden, UT 84403-3271 | 2017-05-11 |
1376083147 | Linda Maria Jones | Nurse Practitioner | 4403 Harrison Blvd, Suite 3490, Ogden, UT 84403 | 2017-02-27 |
1114376431 | Jonas Legrand Peterson | Family Medicine | 4403 Harrison Blvd, Suite A-700, Ogden, UT 84403-3271 | 2016-06-07 |
1649629965 | Derek Paul Wille | Family Medicine | 4403 Harrison Blvd, Suite A-700, Ogden, UT 84403-3271 | 2016-06-07 |
1467838086 | Brandy Millward | Social Worker | 4403 Harrison Blvd, Suite 3630, Ogden, UT 84403-3271 | 2015-08-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730509647 | Shannon Iseminger | Specialist | 3536 Fowler Ave, Ogden, UT 84403-1123 | 2014-04-17 |
1487946554 | Gary O. Christensen M.d. A Professional Corporation | Specialist | 6028 S Ridgeline Dr Ste 201a, Ogden, UT 84405-6909 | 2011-05-09 |
1104000132 | Navin K Varma Md PC | Specialist | 1452 E Ridgeline Dr Ste 151, Ogden, UT 84405 | 2007-12-27 |
1710192034 | Mountain View Orthopedics and Sports Medicine LLC | Specialist | 1486 E Skyline Dr, Ste 202, Ogden, UT 84405-4863 | 2007-05-11 |
1477686582 | Drake Glen Vincent | Specialist | 1710 E 5600 S, Ogden, UT 84403-4384 | 2007-03-14 |
1487672986 | David More Allen | Specialist | 3860 Jackson Ave, Ste 2, Ogden, UT 84403-1997 | 2006-07-17 |
1487687430 | Intermountain Skin Cancer & Esthetics Center PC | Specialist | 3860 Jackson Ave Ste 2, Ogden, UT 84403-1997 | 2006-07-09 |
1134121148 | Brian Keith Brzowski | Specialist | 1525 E 6000 S, Suite C, Ogden, UT 84405-7144 | 2005-08-10 |
1487652632 | Terry D Clawson | Specialist | 3955 Harrison Blvd, Suite U7, Ogden, UT 84403-2313 | 2005-07-12 |
1235515453 | Skyline Plastic and Hand Surgery LLC | Specialist | 6112 S 1550 E, Suite 102, Ogden, UT 84405-5007 | 2015-08-11 |
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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.