Olympus Clinic

LBN: Olympus Clinic
Olympus Clinic is an health care organization with primary practice located at 4624 Holladay Blvd , Salt Lake City UT 84117-5206. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Olympus Clinic can be contacted via phone (801) 277-2682, or through Fuller, Troy A via phone (801) 277-2682.

Contact Information

Primary practice address
4624 Holladay Blvd Salt Lake City UT 84117-5206
Phone: (801) 277-2682
Fax: (801) 277-2980
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Troy A
Phone: (801) 277-2682

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5533 Utah

Profile Details

NPI number 1508810508
LBN Legal business name Olympus Clinic
DBA Doing business as
Authorized official Fuller, Troy A
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Mar 4th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508810508 NPPES
Utah Other CP7822 MEDICARE RAILROAD

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