Mountain Medical Urgent Care

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

MOUNTAIN MEDICAL URGENT CARE

Practice address

127 East Main Street
Suite E
Lehi, UT 84043

Phone

(801) 768-1555

Fax

(801) 768-1569

NPI assigned

Mar 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Steven R. Pack, M.D.

Title

Owner

Phone

(801) 768-1555

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093834038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 E WILLOW SPRINGS CIR",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041790",
            "telephone_number": "801-756-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 EAST MAIN STREET",
            "address_2": "SUITE E",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "84043",
            "telephone_number": "801-768-1555",
            "fax_number": "801-768-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEDICAL URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-768-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529087890001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Mortenson, PT
• Callie Gwen Mosher, TRT
• Alicia Mosley
• David Moss
• Megan Renee Moulton, PHARMD
• Mountain Point Midwives LLC
• Mountain Ridge Healthcare PLLC
• Mountain West Anesthesia LLC
• Mountainstar Medical Group Timpanogos Specialty Care, LLC
• Clint Mower

• Emergency Care Clinic/Center in Lehi, UT
• Providers in Lehi, UT by specialty
• Emergency Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.