Christine N Hall, MD
Individual provider Active NPI Family Medicine Physician · Morgan, UT
NPI 1083706980 · NPPES record last updated Oct 22, 2015
Key facts
- NPI
- 1083706980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9114209-1205 (UT)
- Practice address
- 4565 Ranch Blvd
Morgan, UT 84050-5515 - Phone
- (505) 434-3137
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151207001654 | UT | Order and Referring Only - Family Practice |
8527368927 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2007-0220 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Breastfeeding and Tongue Tie Center | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9114209-1205 | UT | Yes |
| Family Medicine Physician | 207Q00000X | MD2007-0220 | NM |
Addresses
Primary practice location
4565 Ranch Blvd
Morgan, UT 84050-5515
Mailing address
4565 Ranch Blvd
Morgan, UT 84050-5515
Phone (505) 434-3137
Other providers in Morgan, UT
- Frontier Medical LLC
- Goodrich Performance Therapy
- Daniel Goodrich
- David Griffith
- H N a of Utah Inc
- Kurtis Hinderman
- Jess Clinton Hopkin
- Hti Physician Services of Utah, Inc
- Courtney Hughes
- Patti B Johnson
All providers in Morgan, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.