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VIVINT MEDICAL CLINIC
NPI 1265942163
Family Medicine in Provo, UT

Active since October 05, 2017
4907 NORTH 300 WEST, PROVO, UT 84604(801) 705-8040(801) 765-5740 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Vivint Medical Clinic NPPES

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

VIVINT MEDICAL CLINIC (NPI 1265942163) is a healthcare organization registered as a family medicine in Provo, Utah and active in the NPI registry since October 2017. The organization lists Darce Latsis, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1265942163
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVIVINT MEDICAL CLINIC
Location Address4907 NORTH 300 WESTProvo, UT 84604-8460
Mailing Address560 S 300 E Ste 275Salt Lake City, UT 84111-3586 · (801) 441-1002
Phone(801) 705-8040
Fax(801) 765-5740
Organization SubpartYesParent: Futura Medical Clinic
Authorized OfficialDarce LatsisOperations Manager · (801) 705-8040
Enumeration DateOctober 5, 2017
Last NPPES UpdateJanuary 30, 2020
✔ NPI 1265942163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
4907 NORTH 300 WEST, Provo, UT 84604
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Other Names 1

Doing Business AsVivint Medical Clinic

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

Other Providers at the Same Location NPPES

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

DR. WENDY JADE PAYNE MD
Family Medicine
4907 NORTH 300 WEST
PROVO, UT 84604
Utah County (801) 705-8040

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 Vivint Medical Clinic's NPI number?

The NPI number for Vivint Medical Clinic is 1265942163. It was assigned to this organization in the NPPES registry on October 5, 2017.

Where is Vivint Medical Clinic located?

Vivint Medical Clinic is located at 4907 North 300 West, Provo, UT 84604. The listed phone number is (801) 705-8040.

What is Vivint Medical Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Vivint Medical Clinic was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.