IMPACT MEDICAL LLC – NPI #1487529764
Preventive Medicine

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Health Care Provider Taxonomy Code for Preventive Medicine

IMPACT MEDICAL LLC is a provider located in HEBER CITY, UT. NPPES has assigned the NPI number 1487529764 to IMPACT MEDICAL LLC on October 07, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083P0901X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Public Health & General Preventive Medicine

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 IMPACT MEDICAL LLC below.

NPI Profile for
IMPACT MEDICAL LLC

NPI Number
1487529764
Enumeration Date

(about 8 months 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
IMPACT MEDICAL LLC
Primary location
1776 N HIGHWAY 40, STE 101
HEBER CITY, UT 84032
Phone: (435) 294-2664 Fax: (801) 274-0049
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BENJAMIN FOGG
PHYSICIAN
Phone: (801) 712-2535
Updated
Certification Date
Sep 23, 2025

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
2083P0901X
- Preventive Medicine / Public Health & General Preventive Medicine (Primary)
207Q00000X
- Family Medicine

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.