Organization Active NPI

Alpine Center Medical Services LC

  • Addiction Medicine (Family Medicine) Physician
  • Salt Lake City, UT
National Provider Identifier
1831421429
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
ALPINE CENTER MEDICAL SERVICES LC
Practice address
5689 S Redwood Rd
Suite 30
Salt Lake City, UT 84123-5447
Phone
(801) 268-1715
Fax
(801) 268-1783
NPI assigned
Feb 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Heather Michelle Child
Title
Administrator
Phone
(801) 268-1715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

5689 S Redwood Rd
Suite 30
Salt Lake City, UT 84123-5447

Mailing address

5689 S Redwood Rd
Suite 30
Salt Lake City, UT 84123-5447
Phone (801) 268-1715

National Provider Directory

National Provider Directory

Locations

5689 S Redwood Rd
Unit 30
Taylorsville, UT 84123
Phone (801) 268-1715

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": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1831421429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5689 S REDWOOD RD",
            "address_2": "SUITE 30",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235447",
            "telephone_number": "801-268-1715",
            "fax_number": "801-268-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5689 S REDWOOD RD",
            "address_2": "SUITE 30",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841235447",
            "telephone_number": "801-268-1715",
            "fax_number": "801-268-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE CENTER MEDICAL SERVICES LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "CHILD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-268-1715"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 5, 2010; 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.