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WOODMEAD MEDICAL CLINIC PLLC
NPI 1194013870
Clinic/Center in Bountiful, UT

Active since July 15, 2011
3263 S HIGHWAY 89, SUITE 300, BOUNTIFUL, UT 84010(801) 296-0600(801) 295-1700 Get Directions Write a Review

NPPES record last updated: July 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Woodmead Medical Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOODMEAD MEDICAL CLINIC PLLC (NPI 1194013870) is a healthcare organization registered as a clinic/center in Bountiful, Utah and active in the NPI registry since July 2011. The organization lists Gavin N Van Staden, Owner, as its authorized official.

NPPES Registry Identity

NPI1194013870
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWOODMEAD MEDICAL CLINIC PLLC
Location Address3263 S HIGHWAY 89, SUITE 300Bountiful, UT 84010-8555
Mailing Address3263 S Highway 89, Suite 300Bountiful, UT 84010-8555 · (801) 296-0600 · Fax (801) 295-1700
Phone(801) 296-0600
Fax(801) 295-1700
Organization SubpartNo
Authorized OfficialGavin N Van StadenOwner · (801) 296-0600
Enumeration DateJuly 15, 2011
✔ NPI 1194013870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Licenses✔ Licensed in UT · 5863514-1205✔ Licensed in UT · 284903-1205
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3263 S HIGHWAY 89, Bountiful, UT 84010
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH CANYON FAMILY MEDICINE AND AESTHETICS LLC
Family Medicine
3263 S HIGHWAY 89, SUITE 300
BOUNTIFUL, UT 84010
Davis County (801) 296-0600
GAVIN VAN STADEN MD PC
Clinic/Center
3263 S HIGHWAY 89, STE 300
BOUNTIFUL, UT 84010
Davis County (801) 296-0600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Woodmead Medical Clinic PLLC's NPI number?

The NPI number for Woodmead Medical Clinic PLLC is 1194013870. It was assigned to this organization in the NPPES registry on July 15, 2011.

Where is Woodmead Medical Clinic PLLC located?

Woodmead Medical Clinic PLLC is located at 3263 S Highway 89 Suite 300, Bountiful, UT 84010. The listed phone number is (801) 296-0600.

What is Woodmead Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Woodmead Medical Clinic PLLC was last updated on July 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.