Uuhc South Jordan Clinic is a
Family Medicine based in South Jordan, Utah. Uuhc South Jordan Clinic is licensed to practice in * (Not Available) (license number ) and their current practice location is
5126 W Daybreak Pkwy, South Jordan, Utah. It can be reached at their office (for appointments etc.) via phone at
(801) 213-4500.
NPI number for Uuhc South Jordan Clinic is 1336304419 and their current mailing address is Po Box 510708, Salt Lake City, Utah. Uuhc South Jordan Clinic
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1336304419.
Healthcare Provider's Profile
| Full Name | Uuhc South Jordan Clinic |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 5126 W Daybreak Pkwy, South Jordan, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336304419
- Provider Enumeration Date: 07/28/2008
- Last Update Date: 04/23/2012
Medical Identifiers
Medical identifiers for Uuhc South Jordan Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336304419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 163W00000X | Registered Nurse | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | 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. Uuhc South Jordan 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 |
|---|
Uuhc South Jordan Clinic
Po Box 510708,
Salt Lake City, UT 84151-0708
Ph: (801) 587-6303 | Uuhc South Jordan Clinic
5126 W Daybreak Pkwy,
South Jordan, UT 84095-5994
Ph: (801) 213-4500 |
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