JORDAN RIDGE FAMILY MEDICINE LLC; NPI #1841872728

Contact Information

JORDAN RIDGE FAMILY MEDICINE LLC

1403 EAST SEGO LANE
SUITE 100
SANDY, UT 84092

Phone: 385-274-3959
Fax: 385-274-3970
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology, Mobile Mammography	261QR0207X	45	Mammography Center

Indicates primary specialty

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NPI Profile & details for JORDAN RIDGE FAMILY MEDICINE LLC

NPI #	`1841872728`
LBN Legal business name	JORDAN RIDGE FAMILY MEDICINE LLC
Authorized official	EMILY CASTILLO - (MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/21/2021
Last updated	10/28/2022 - About 4 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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JORDAN RIDGE FAMILY MEDICINE LLC

Contact Information

Specialty

Radiology, Mobile Mammography

NPI Profile & details for JORDAN RIDGE FAMILY MEDICINE LLC

Reviews for JORDAN RIDGE FAMILY MEDICINE LLC