National Provider Identifier Database

MOUNTAIN UTAH FAMILY MEDICINE
Rural Health


Contact Information

MOUNTAIN UTAH FAMILY MEDICINE
879 N MAIN ST
RICHFIELD, UT84701-1840
Phone: 435-896-9561
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for MOUNTAIN UTAH FAMILY MEDICINE

NPI Number 1659402774
Legal business name
LBN
MOUNTAIN UTAH FAMILY MEDICINE
Authorized official DAVID POPE - (MD)
Entity Organization
Organization subpart No
Enumeration date 03/08/2007
Last updated 07/16/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 463813
  • UT Medicaid: 528925279034

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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