NPIMap

Organization Active NPI

FJM Ogden

Doing business as Onsite Care

  • Primary Care Clinic/Center
  • Ogden, UT
National Provider Identifier
1104208412
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
94364441725 Issued in UT
Legal business name
FJM OGDEN
Doing business as
Onsite Care
Practice address
1104 Country Hills Dr
Suite 110
Ogden, UT 84403-2400
Phone
(801) 624-1633
NPI assigned
Jun 23, 2015
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Darce Latsis
Title
Program Manager
Phone
(801) 441-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 94364441725 UT Primary

Addresses

Primary practice location

1104 Country Hills Dr
Suite 110
Ogden, UT 84403-2400

Mailing address

560 S 300 E Ste 275
Salt Lake City, UT 84111-3586
Phone (801) 441-1002

Other names 1

  • Onsite Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2052268FJM Ogden Medical Clinic1104 Country Hills Drive Suite 110, Ogden, UT 84403Provider-performed microscopyJan 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Onsite Care Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1104208412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S 300 E STE 275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113586",
            "telephone_number": "801-441-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 COUNTRY HILLS DR",
            "address_2": "SUITE 110",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032400",
            "telephone_number": "801-624-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FJM OGDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "LATSIS",
        "authorized_official_first_name": "DARCE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "801-441-1002"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "94364441725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onsite Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.