TANNER CLINIC – NPI #1265852669
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

TANNER CLINIC is a provider located in ROY, UT. NPPES has assigned the NPI number 1265852669 to TANNER CLINIC on April 24, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TANNER CLINIC” is a dba name, the actual legal business name for this organization is TANNER MEMORIAL CLINIC. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Jan 20, 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 TANNER CLINIC below.

NPI Profile for
TANNER MEMORIAL CLINIC

NPI Number
1265852669
Enumeration Date

(more than 12 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
TANNER MEMORIAL CLINIC
Doing Business As (dba): TANNER CLINIC
Primary location
3443 W 5600 S
ROY, UT 84067-9112
Phone: (801) 773-4840 Fax:
Mailing address
PO BOX 337
LAYTON, UT 84041-0337
Phone: Fax:
Organization Subpart
No
Authorized Official
KEVIN SPAINHOWER
BUSINESS SERVICES DIRECTOR
Phone: (801) 773-4840
Updated
Certification Date
Jan 20, 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
208D00000X
- General Practice (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.