JORDAN MEADOWS MEDICAL CENTER. - NPI 1205957131 - Family Medicine in West Jordan, UT

Q: What is Hunter Medical Center, Inc's NPI number?

The NPI number for Hunter Medical Center, Inc is 1205957131. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as Jordan Meadows Medical Center..

Q: What is Hunter Medical Center, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Jordan Meadows Medical Center. NPPES

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

JORDAN MEADOWS MEDICAL CENTER. (NPI 1205957131) is a healthcare organization registered as a family medicine in West Jordan, Utah and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Frederic M Civish, Owner, as its authorized official.

NPPES Registry Identity

NPI1205957131

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHUNTER MEDICAL CENTER, INC

Location Address3354 W 7800 SWest Jordan, UT 84088-4506

Mailing Address3354 W 7800 SWest Jordan, UT 84088-4506 · (801) 282-2677 · Fax (801) 282-2050

Phone(801) 282-2677

Fax(801) 282-2050

Organization SubpartNo

Authorized OfficialFrederic M CivishOwner · (801) 282-2677

Enumeration DateApril 2, 2007

Last NPPES UpdateDecember 23, 2010

✔ NPI 1205957131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 184916-1205

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3354 W 7800 S, West Jordan, UT 84088

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Other Names 1

Doing Business AsJordan Meadows Medical Center.

Other Identifiers 1

Medicare ID-Type Unspecified000055875UT · Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D0934060

Jordan Meadows Medical Center · West Jordan, UT

Active · expires Jan 11, 2027

CLIA Number46D0934060

Laboratory TypePhysician Office

Certificate Effective DateJanuary 12, 2025

Certificate Expiration DateJanuary 11, 2027

Laboratory DirectorFrederic M. Civish MD

Laboratory Phone(801) 282-2677

Laboratory LocationJordan Meadows Medical Center3354 W 7800 S, West Jordan, UT 84088

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MEGAN BLISS

Nurse Practitioner (Primary Care)