Sandy Clinic is a
Internal Medicine based in Sandy, Utah. Sandy Clinic is licensed to practice in Utah (license number 55767) and their current practice location is
9500 S 1300 E, Sandy, Utah. It can be reached at their office (for appointments etc.) via phone at
(801) 501-2100.
NPI number for Sandy Clinic is 1164558847 and their current mailing address is Po Box 27128, Salt Lake City, Utah. Sandy Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1164558847.
Healthcare Provider's Profile
| Full Name | Sandy Clinic |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 9500 S 1300 E, Sandy, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164558847
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 07/31/2008
Medical Identifiers
Medical identifiers for Sandy Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164558847 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 55767 (Utah) | Secondary |
| 207K00000X | Allergy & Immunology | 55767 (Utah) | Secondary |
| 207N00000X | Dermatology | 55767 (Utah) | Secondary |
| 207R00000X | Internal Medicine | 55767 (Utah) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | 55767 (* (Not Available)) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 55767 (Utah) | Secondary |
| 207W00000X | Ophthalmology | 55767 (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | 55767 (Utah) | Secondary |
| 208200000X | Plastic Surgery | 55767 (Utah) | Secondary |
| 208600000X | Surgery | 55767 (Utah) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandy Clinic is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sandy Clinic
Po Box 27128,
Salt Lake City, UT 84127-0128
Ph: (801) 501-2100 | Sandy Clinic
9500 S 1300 E,
Sandy, UT 84094-3763
Ph: (801) 501-2100 |
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