Organization Active NPI

Birch Family Clinical Services LLC

  • Family Medicine Physician
  • Tooele, UT
National Provider Identifier
1760136998
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BIRCH FAMILY CLINICAL SERVICES LLC
Practice address
493 N Main St
Tooele, UT 84074-1654
Phone
(435) 882-7775
Fax
(435) 882-7779
NPI assigned
Feb 7, 2022
Last updated
Feb 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Sheldon Birch, PHARMD
Title
Owner/Authorized Official
Phone
(435) 850-8772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

493 N Main St
Tooele, UT 84074-1654

Mailing address

493 N Main St
Tooele, UT 84074-1654
Phone (435) 882-7775

National Provider Directory

National Provider Directory

Locations

493 N Main St
Tooele, UT 84074
Phone (435) 274-2747

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1760136998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741654",
            "telephone_number": "435-882-7775",
            "fax_number": "435-882-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741654",
            "telephone_number": "435-882-7775",
            "fax_number": "435-882-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH FAMILY CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "435-850-8772",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

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