MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC – NPI #1073795258
Family Medicine

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.

MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC is a provider located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1073795258 to MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC on November 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is ST. MARK'S MILLCREEK PRIMARY CARE. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Jan 02, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC below.

NPI Profile for
MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC

NPI Number
1073795258
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC
Former Legal Business Name: ST. MARK'S MILLCREEK PRIMARY CARE
Primary location
348 E 4500 S STE 300
SALT LAKE CITY, UT 84107-8535
Phone: (801) 266-2777 Fax:
Mailing address
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4525
Phone: (615) 373-7600 Fax: (866) 346-1426
Organization Subpart
No
Authorized Official
LOUIS JOSEPH
VP
Phone: (615) 373-7630
Updated
Certification Date
Jan 02, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MOUNTAINSTAR MEDICAL GROUP-ST. MARKS HOSPITAL, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidUT1073795258
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.