CEDAR CREEK FAMILY HEALTH CARE LLC
NPI 1639323280
Clinic/Center in Tooele, UT
- Organization
- Clinic/Center
About CEDAR CREEK FAMILY HEALTH CARE LLC
This page provides the complete NPI Profile along with additional information for Cedar Creek Family Health Care Llc, a provider established in Tooele, Utah operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1639323280 assigned on November 2008. The practitioner's primary taxonomy code is 261Q00000X with license number 219855-8900 (UT). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's former legal business name is Majestic Oaks Family Health Care. The authorized official of this NPI record is Lu Ann Jacobs-peterson Aprn (Fnp)
- NPI
- 1639323280 Verify this NPI
- Provider Legal Name
- CEDAR CREEK FAMILY HEALTH CARE LLC
- Other Organization Name
- MAJESTIC OAKS FAMILY HEALTH CARE
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 453 N MAIN ST STE A TOOELE, UT 84074
- Location Phone
- (801) 232-1998
- Mailing Address
- 14540 MAJESTIC OAKS LN HERRIMAN, UT 84096
- Mailing Phone
- (801) 232-1998
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-10-2008
- Last Update Date
- 04-02-2010
- 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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 219855-8900
- License State
- UT
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639323280, enumerated as an "organization" on November 10, 2008.
The provider is located at 453 N MAIN ST STE A TOOELE, UT 84074 and the phone number is (801) 232-1998.
Clinic/Center with taxonomy code 261Q00000X.
