FOOTHILL FAMILY CLINIC
NPI 1265513964
Family Medicine in Salt Lake City, UT
About Foothill Family Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOOTHILL FAMILY CLINIC (NPI 1265513964) is a healthcare organization registered as a family medicine in Salt Lake City, Utah and active in the NPI registry since October 2006. The organization holds 3 active CLIA laboratory certificates and lists Dan C. Henry, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Foothill Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Foothill Family Clinic, which bills Medicare for the services they deliver. Of these, 17 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 30Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
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 Compliance 46D0935188
Foothill Family Clinic South · Cottonwood Heights, UTCertificate of Compliance 46D0524018
Foothill Family Clinic North · Salt Lake City, UTCertificate of Compliance 46D2095215
Foothill Family Clinic Draper · Draper, UTFrequently 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 Foothill Clinic, LLC's NPI number?
The NPI number for Foothill Clinic, LLC is 1265513964. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Foothill Family Clinic.
Where is Foothill Clinic, LLC located?
Foothill Clinic, LLC is located at 6360 S 3000 E Ste 100, Salt Lake City, UT 84121. The listed phone number is (801) 365-1032.
What is Foothill Clinic, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Foothill Clinic, LLC enrolled in Medicare?
Yes. Foothill Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Foothill Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 6 Medicare specialties reassign their Medicare billing to Foothill Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (22), Nurse Practitioner (3) and General Practice (2). Of these, 17 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Foothill Clinic, LLC hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Foothill Clinic, LLC accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Foothill Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Foothill Clinic, LLC was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Foothill Family Clinic · NPI 1265513964
Family Medicine organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1265513964 (Entity type: Organization)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Foothill Clinic, Llc
- **Organization subpart:** No
- **Authorized official:** Dan Henry, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 6360 S 3000 E, STE 100, Salt Lake City, UT 84121-6923
- **Phone:** (801) 365-1032 · **Fax:** (801) 365-1033
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (22), Nurse Practitioner (3), General Practice (2); 17 practice within 10 miles; [full list](https://npiprofile.com/npi/1265513964/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2008
- **Other identifiers:** Medicare PIN 000055503 (UT); Medicare NSC 4195970001 (UT)
- **CLIA laboratory certificates:** 3 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1265513964) · Data from the CMS NPPES public registry.