NPIMap

Organization Active NPI

Utah Department of Health - Health Clinics of Utah

  • Community/Behavioral Health Agency
  • Ogden, UT
National Provider Identifier
1487197653
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UTAH DEPARTMENT OF HEALTH - HEALTH CLINICS OF UTAH
Practice address
2540 Washington Blvd
Suite 122
Ogden, UT 84401-3122
Phone
(801) 395-6401
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Jacob James Fitisemanu Jr.
Title
Clinic Manager
Phone
(801) 499-7544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2540 Washington Blvd
Suite 122
Ogden, UT 84401-3122

Mailing address

2540 Washington Blvd
Suite 122
Ogden, UT 84401-3122

National Provider Directory

National Provider Directory
Tax ID family
Utah's Children's Justice Center Program28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

2540 Washington Blvd
Ste 122
Ogden, UT 84401
Phone (801) 626-3670

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1487197653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 WASHINGTON BLVD",
            "address_2": "SUITE 122",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 WASHINGTON BLVD",
            "address_2": "SUITE 122",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013122",
            "telephone_number": "801-395-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH DEPARTMENT OF HEALTH - HEALTH CLINICS OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "FITISEMANU",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "801-499-7544",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 21, 2016; 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.