EVERGREEN CLINIC LLC – NPI #1689210551
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.
EVERGREEN CLINIC LLC is a provider located in WEST JORDAN, UT. NPPES has assigned the NPI number 1689210551 to EVERGREEN CLINIC LLC on November 25, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Jan 13, 2020. 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 EVERGREEN CLINIC LLC below.
NPI Profile for
EVERGREEN CLINIC LLC
(more than 6 years ago)
WEST JORDAN, UT 84084-3556 Phone: (801) 850-1958 Fax: (801) 747-6881
MIDVALE, UT 84047-9170 Phone: (801) 850-1958 Fax:
ADMINISTRATOR
Phone: (801) 850-1958
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.
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.