Active NPI
Alpine Center Medical Services LC
- Addiction Medicine (Family Medicine) Physician
- Salt Lake City, UT
National Provider Identifier
1831421429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 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 DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Salt Lake City, UT
- NPI 1932169430
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.