PARK CITY CLINIC
NPI 1508067950
Legal Medicine in Park City, UT
NPI Status: Active since May 31, 2007
Contact Information
1665 BONANZA DRIVE
PARK CITY, UT
ZIP 84060
Phone: (435) 649-7640
Fax: (435) 649-1365
- Organization
- Legal Medicine
- CLIA Number: 46D2202239
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 11-24-2026
About PARK CITY CLINIC
This page provides the complete NPI Profile along with additional information for Park City Clinic, a provider established in Park City, Utah operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1508067950 assigned on May 2007. The practitioner's primary taxonomy code is 173000000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Park City Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Park City Clinic. The authorized official of this NPI record is Stephen F Swanson (Administrator)
- NPI
- 1508067950
- Provider Legal Name
- PARK CITY HEALTHCARE, PC
- Other Organization Name
- PARK CITY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1665 BONANZA DRIVE PARK CITY, UT 84060
- Location Phone
- (435) 649-7640
- Location Fax
- (435) 649-1365
- Mailing Address
- P.O. BOX 680670 PARK CITY, UT 84068
- Mailing Phone
- (435) 649-7640
- Mailing Fax
- (435) 649-1365
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2007
- Last Update Date
- 07-22-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Legal Medicine
- Taxonomy Code
- 173000000X
- Type
- Other Service Providers
- Taxonomy Description
- The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2202239
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- November 25, 2024
- Certificate Expiration Date
- November 24, 2026
- Laboratory Director
- MICHAEL TANNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Park City Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1508067950, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508067950, enumerated as an "organization" on May 31, 2007.
The provider is located at 1665 BONANZA DRIVE PARK CITY, UT 84060 and the phone number is (435) 649-7640.
Legal Medicine with taxonomy code 173000000X.
