Organization Active NPI

Mountain West Clinical Services

  • Family Medicine Physician
  • Bountiful, UT
National Provider Identifier
1578210753
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MOUNTAIN WEST CLINICAL SERVICES
Practice address
1551 Renaissance Towne Dr Ste 104
Bountiful, UT 84010-7682
Phone
(385) 399-7379
NPI assigned
Mar 7, 2022
Last updated
Mar 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Julie Lindberg, PHARMDNPI 1568694107
Title
Owner/Authorized Official
Phone
(385) 399-7379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1551 Renaissance Towne Dr Ste 104
Bountiful, UT 84010-7682

Mailing address

1551 Renaissance Towne Dr Ste 104
Bountiful, UT 84010-7682
Phone (385) 399-7379

National Provider Directory

National Provider Directory

Locations

1551 Renaissance Towne Dr
Ste 104
Bountiful, UT 84010
Phone (385) 299-7379

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1578210753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR STE 104",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107682",
            "telephone_number": "385-399-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 RENAISSANCE TOWNE DR STE 104",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107682",
            "telephone_number": "385-399-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "385-399-7379",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.