UTAH WOUND CARE CENTER
NPI 1639815483
Preventive Medicine - Undersea and Hyperbaric Medicine in Layton, UT

NPI Status: Active since May 05, 2022

Contact Information

209 E GORDON AVE STE 1
LAYTON, UT
ZIP 84041
Phone: (385) 786-6100
Fax: (385) 786-6101

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  • Organization
  • Preventive Medicine
  • Undersea and Hyperbaric Medicine
  • CLIA Number: 46D2260952
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 05-24-2024

About UTAH WOUND CARE CENTER

Utah Wound Care Center is a provider established in Layton, Utah operating as a Preventive Medicine with a focus in undersea and hyperbaric medicine . The healthcare provider is registered in the NPI registry with number 1639815483 assigned on May 2022. The practitioner's primary taxonomy code is 2083P0011X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Utah Wound Care Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Utah Wound Care Center. The authorized official of this NPI record is Kristyn Dice (Credentialing Manager)

NPI
1639815483
Provider Legal Name
UTAH WOUND CARE AND HYPERBARIC CENTER LLC
Other Organization Name
UTAH WOUND CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
209 E GORDON AVE STE 1 LAYTON, UT 84041
Location Phone
(385) 786-6100
Location Fax
(385) 786-6101
Mailing Address
PO BOX 848 ROY, UT 84067
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2022
Last Update Date
10-07-2022
Code Navigator

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

Preventive Medicine Undersea and Hyperbaric Medicine

Taxonomy Code
2083P0011X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

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)
1207PE0005XAllopathic & Osteopathic Physicians

Emergency Medicine
Undersea and Hyperbaric Medicine

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • University of Utah Health Plans

    • Healthy Premier Bronze HSA - EPO
    • Healthy Premier Bronze w.3 Copays - EPO
    • Healthy Premier Expanded Bronze - EPO
    • Healthy Premier Expanded Bronze Standard - EPO
    • Healthy Premier Expanded Bronze Standard Choice - EPO
    • Healthy Premier Gold Copay - EPO
    • Healthy Premier Gold Standard - EPO
    • Healthy Premier Silver Copay - EPO
    • Healthy Premier Silver Standard - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTYN DICE

Authorized Official Title
CREDENTIALING MANAGER
Authorized Official Phone
(209) 587-9330

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
12742218-0151OTHER (01)UTUT BUISNESS LICENSE REGISTRATION

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
46D2260952
Facility Type
Community Clinic
Certificate Effective Date
May 25, 2022
Certificate Expiration Date
May 24, 2024
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Utah Wound Care Center 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.

Reviews for UTAH WOUND CARE CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639815483
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266916110416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 6 + 1 + 1 + 0 + 4 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1639815483 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891369732MS. DESERET DAY ALLEN DNP, APRN, FNP-BC
Individual
Nurse Practitioner (Family)209 E GORDON AVE STE 1
LAYTON, UT 84041
(801) 941-9280

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639815483, enumerated in the NPI registry as an "organization" on May 05, 2022

The provider is located at 209 E Gordon Ave Ste 1 Layton, Ut 84041 and the phone number is (385) 786-6100

This medical organization specializes in Preventive Medicine with taxonomy code 2083P0011X with a focus in Undersea and Hyperbaric Medicine

The provider might be accepting Accepts: University of Utah Health Plans, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 46D2260952 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on May 05, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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