NPIMap

Organization Active NPI

Clinical Consultants LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • West Jordan, UT
National Provider Identifier
1730630203
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
22529 Issued in UT
Legal business name
CLINICAL CONSULTANTS LLC
Practice address
7601 S Redwood Rd BLDG E
West Jordan, UT 84084-4007
Phone
(801) 233-8670
NPI assigned
Oct 20, 2016
Organization subpart
Yes
Parent organization
CLINICAL CONSULTANTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Authorized official

Name
Mike Odom, ASUDC
Title
Program Administrator
Phone
(801) 233-8670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 22529 UT Primary

Addresses

Primary practice location

7601 S Redwood Rd BLDG E
West Jordan, UT 84084-4007

Mailing address

7601 S Redwood Rd BLDG E
West Jordan, UT 84084-4007
Phone (801) 233-8670

National Provider Directory

National Provider Directory
Tax ID family
Clinical Consultants Limited Liability Company3 organizations share this tax ID, including this one
Part of
Clinical Consultants Limited Liability Company

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1730630203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 S REDWOOD RD BLDG E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840844007",
            "telephone_number": "801-233-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 S REDWOOD RD BLDG E",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840844007",
            "telephone_number": "801-233-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CONSULTANTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICAL CONSULTANTS LLC",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "801-233-8670",
        "authorized_official_credential": "ASUDC"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "UT",
            "license": "22529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.