Organization Active NPI

Key Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Salt Lake City, UT
National Provider Identifier
1649395336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KEY MEDICAL LLC
Practice address
5796 S 900 E
Salt Lake City, UT 84121-1036
Phone
(801) 266-3220
Fax
(800) 927-7197
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Glen Newsom
Title
Managing Member
Phone
(801) 266-3220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

5796 S 900 E
Salt Lake City, UT 84121-1036

Mailing address

5796 S 900 E
Salt Lake City, UT 84121-1036
Phone (801) 266-3220

Other identifiers 1

IdentifierTypeStateIssuer
95640500000001OtherUTBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

5796 S 900 E
Murray, UT 84121
Phone (385) 436-2075

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649395336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5796 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211036",
            "telephone_number": "801-266-3220",
            "fax_number": "800-927-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5796 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211036",
            "telephone_number": "801-266-3220",
            "fax_number": "800-927-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-266-3220"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "95640500000001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.