Rocky Mountain Clinical LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

150719-1205 Issued in UT

Legal business name

ROCKY MOUNTAIN CLINICAL LLC

Practice address

1594 W 300 N
Pleasant Grove, UT 84062

Phone

(801) 592-8536

NPI assigned

Aug 6, 2009

Last updated

Aug 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Garner, M.D.NPI 1811067762

Title

Owner

Phone

(801) 592-8536

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary M Garner, RPH., M.D., FAAHPM

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Provo, UT
  • NPI 1811067762
  Authorized official Same address or phone

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1194956342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 W 3300 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840629041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 W 300 N",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "84062",
            "telephone_number": "801-592-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN CLINICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-592-8536",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "UT",
            "license": "150719-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivercrest Assisted Living LLC
• Rivercrest Health and Rehab LLC
• Rivercrest Health and Rehab LLC
• Ryan Roberts
• Carissa Robinson
• Kristin Michele Rodgerson, FNP
• Evelyn Rollins
• Wendy Romero
• Michael Alan Rosen
• Bryon Lamar Rosquist, DC

• General Practice Physician in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.