Guardian Family Medicine

LBN: Guardian Family Medicine
Guardian Family Medicine is an health care organization with primary practice located at 4612 N Independence Way , Eagle Mountain UT 84005-6082. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Guardian Family Medicine can be contacted via phone (801) 404-9662, or through Tillotson, Shad via phone (801) 404-9662.

Contact Information

Primary practice address
4612 N Independence Way Eagle Mountain UT 84005-6082
Phone: (801) 404-9662
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tillotson, Shad Nurse Practitioner (NP)
Phone: (801) 404-9662

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1164903233
LBN Legal business name Guardian Family Medicine
DBA Doing business as
Authorized official Tillotson, Shad Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2018
Last updated Aug 27th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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