Southwest Children'S Clinic

LBN: Southwest Children'S Clinic
Southwest Children'S Clinic is an health care organization with primary practice located at 8822 So Redwood Rd C211, West Jordan UT 84088-8811. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southwest Children'S Clinic can be contacted via phone (801) 563-1975, or through Phillips, Jill via phone (801) 593-1975.

Contact Information

Primary practice address
8822 So Redwood Rd C211 West Jordan UT 84088-8811
Phone: (801) 563-1975
Fax: (801) 563-1984
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Jill
Phone: (801) 593-1975

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 319791-1205 Utah

Profile Details

NPI number 1144345737
LBN Legal business name Southwest Children'S Clinic
DBA Doing business as
Authorized official Phillips, Jill
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 6 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 1144345737 NPPES
Utah MEDICAID D1713
Utah MEDICAID D3859
Utah MEDICAID D5092
Utah MEDICAID 07027

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