Heritage Visiting Practitioners, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

14-135 Issued in UT

Legal business name

HERITAGE VISITING PRACTITIONERS, LLC

Practice address

150 N 1100 E Unit 49
Washington, UT 84780-2882

Phone

(435) 669-6970

NPI assigned

Sep 22, 2014

Last updated

Sep 22, 2014By 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

Mr. Andy H Palmer, MHA

Title

Administrator

Phone

(435) 669-6970

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1316349202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N 1100 E UNIT 49",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802882",
            "telephone_number": "435-669-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N 1100 E UNIT 49",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802882",
            "telephone_number": "435-669-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VISITING PRACTITIONERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-669-6970",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "14-135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Washington, UT
• Providers in Washington, UT by specialty
• Primary Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.