COUNTRY CORNER FAMILY MEDICINE
NPI 1801379193
Family Medicine in Salt Lake City, UT

Q: What is Country Corner Family Medicine's NPI number?

The NPI number for Country Corner Family Medicine is 1801379193. It was assigned to this organization in the NPPES registry on September 12, 2018.

Q: What is Country Corner Family Medicine's specialty?

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

Active since September 12, 2018

5460 W CLERNATES DR, SALT LAKE CITY, UT 84118(435) 749-1488(801) 880-2859 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Country Corner Family Medicine NPPES

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

COUNTRY CORNER FAMILY MEDICINE (NPI 1801379193) is a healthcare organization registered as a family medicine in Salt Lake City, Utah and active in the NPI registry since September 2018. The organization lists Kortney Mcmullin, Owner, as its authorized official.

NPPES Registry Identity

NPI1801379193

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOUNTRY CORNER FAMILY MEDICINE

Location Address5460 W CLERNATES DRSalt Lake City, UT 84118-8526

Mailing Address5460 W Clernates DrSalt Lake City, UT 84118-8526 · (435) 749-1488 · Fax (801) 880-2859

Phone(435) 749-1488

Fax(801) 880-2859

Organization SubpartNo

Authorized OfficialKortney McmullinOwner · (435) 749-1488

Enumeration DateSeptember 12, 2018

✔ NPI 1801379193 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.

5460 W CLERNATES DR, Salt Lake City, UT 84118

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Country Corner Family Medicine's NPI number?

The NPI number for Country Corner Family Medicine is 1801379193. It was assigned to this organization in the NPPES registry on September 12, 2018.

Where is Country Corner Family Medicine located?

Country Corner Family Medicine is located at 5460 W Clernates Dr, Salt Lake City, UT 84118. The listed phone number is (435) 749-1488.

What is Country Corner Family Medicine'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 Country Corner Family Medicine was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.