NPIMap

Organization Active NPI

Medical Mindshare

  • Federally Qualified Health Center (FQHC)
  • Midvale, UT
National Provider Identifier
1609557305
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MEDICAL MINDSHARE
Practice address
6771 S 900 E
Midvale, UT 84047-1436
Phone
(385) 420-0092
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Mrs. Renee G BrownNPI 1477283729
Title
Incorporator
Phone
(801) 209-7232

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
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

6771 S 900 E
Midvale, UT 84047-1436

Mailing address

6771 S 900 E
Midvale, UT 84047-1436
Phone (385) 420-0092

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1609557305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6771 S 900 E",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471436",
            "telephone_number": "385-420-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6771 S 900 E",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471436",
            "telephone_number": "385-420-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MINDSHARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "801-209-7232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.