HEALTH DIVERSIFIED - MEDICAL GROUP OF UTAH
NPI 1508518085
Clinic/Center - Multi-Specialty in Holladay, UT
NPI Status: Active since January 25, 2022
Contact Information
4544 S HOLLADAY BLVD
HOLLADAY, UT
ZIP 84117
Phone: (801) 682-6817
Fax: (385) 213-0356
- Organization
- Clinic/Center
- Multi-Specialty
About HEALTH DIVERSIFIED - MEDICAL GROUP OF UTAH
This page provides the complete NPI Profile along with additional information for Health Diversified - Medical Group Of Utah, a provider established in Holladay, Utah operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1508518085 assigned on January 2022. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated March 2026. Health Diversified - Medical Group Of Utah operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Ann Smith (Authorized Official)
- NPI
- 1508518085
- Provider Name
- HEALTH DIVERSIFIED - MEDICAL GROUP OF UTAH
- Entity Type
- Organization
- Location Address
- 4544 S HOLLADAY BLVD HOLLADAY, UT 84117
- Location Phone
- (801) 682-6817
- Location Fax
- (385) 213-0356
- Mailing Address
- 5986 S TOLCATE WOODS LN HOLLADAY, UT 84121
- Mailing Phone
- (801) 682-6817
- Mailing Fax
- (385) 213-0356
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-25-2022
- Last Update Date
- 03-06-2026
- 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
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 3 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 4 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | |
| 5 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 6 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207SG0201X | Allopathic & Osteopathic Physicians | Medical Genetics | |
| 8 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 9 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 10 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 11 | 251B00000X | Agencies | Case Management | |
| 12 | 261QC1800X | Ambulatory Health Care Facilities | Clinic/Center | |
| 13 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 14 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
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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 1508518085, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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 55 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 1508518085, enumerated as an "organization" on January 25, 2022.
The provider is located at 4544 S HOLLADAY BLVD HOLLADAY, UT 84117 and the phone number is (801) 682-6817.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
