MOUNTAIN WEST FAMILY PRACTICE LLC – NPI #1770581605
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.

Health Care Provider Taxonomy Code for Family Medicine

MOUNTAIN WEST FAMILY PRACTICE LLC is a provider located in TOOELE, UT. NPPES has assigned the NPI number 1770581605 to MOUNTAIN WEST FAMILY PRACTICE LLC on July 13, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. 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 Nov 24, 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 MOUNTAIN WEST FAMILY PRACTICE LLC below.

NPI Profile for
MOUNTAIN WEST FAMILY PRACTICE LLC

NPI Number
1770581605
Enumeration Date

(about 21 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
MOUNTAIN WEST FAMILY PRACTICE LLC
Primary location
2356 N 400 E
SUITE 201
TOOELE, UT 84074
Phone: (435) 882-2350 Fax: (435) 882-2039
2 Other location(s):
3435 E Pony Express Pkwy Ste 140
Eagle Mountain, UT 84005-5548
Phone: (801) 789-2444
Fax: (801) 789-2045
3688 W 2100 S
Salt Lake City, UT 84120-1202
Phone: (435) 830-0554
Fax: (435) 882-2039
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BLAKE BEAZER
PRESIDENT
Phone: (435) 882-2350
Updated
Certification Date
Nov 24, 2020

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.

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)		 UT 2005172

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.