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Contact Information

MTC MEDICAL, LLC
500 N MARKET PLACE DR STE 100
CENTERVILLE, UT84014-1711
 Phone: 801-693-2918
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prison Health

261QP2400X
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for MTC MEDICAL, LLC

NPI # 1720759236
LBN Legal business name MTC MEDICAL, LLC
Authorized official GABE UTLEY - (FINANCE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/23/2021
Last updated 09/23/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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