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Contact Information

OGDEN CLINIC SPECIALTY SERVICES
4700 HARRISON BLVD
OGDEN, UT84403-4303
 Phone: 801-475-3160
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for OGDEN CLINIC SPECIALTY SERVICES

NPI Number 1861084949
LBN Legal business name OGDEN CLINIC SPECIALTY SERVICES
Authorized official MARCHELLE JONES - (CREDENTIALING SUPERVISOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/09/2021
Last updated 02/16/2021 - About 5 years ago
Identifiers
UT Medicaid 1114203668
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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