Htiphysician Services Business Office
Organization Active NPI Primary Care Clinic/Center · Ogden, UT
NPI 1851320907 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1851320907
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- HTIPHYSICIAN SERVICES BUSINESS OFFICE
- Practice address
- 5740 Crestwood Dr
Ogden, UT 84405-4869 - Phone
- (801) 479-7771
- Fax
- (801) 479-7795
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Kristin Summers
- Title
- Office Manager
- Phone
- (801) 479-7771
Practitioners 7
-
Adam C Craner, APRN
-
Keith W Elkins, M.D.
-
Charles W Haws, MD
-
Robert R Mohr, MD
-
Terra L Rockenfield, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D0663539 | Ogden Clinic South Ogden Family Medicine | Certificate of waiver | Dec 22, 2026 |
National Provider Directory
Locations
142 N Union Ave
Ste 300
Farmington, UT 84025
3540 S 4000 W
Ste 340
West Valley City, UT 84120
Phone (801) 417-5017
3725 W 4100 S
Ste 201
West Valley City, UT 84120
Phone (801) 565-6900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
5740 Crestwood Dr
Ogden, UT 84405-4869
Mailing address
5740 Crestwood Dr
Ogden, UT 84405-4869
Phone (801) 479-7771
Other names
- South Ogden Center for Family Medicine
Other providers in Ogden, UT
- Tyler Mark Howells
- Scott M Howes
- Talia Brianna Howling-Dunham
- Brett Hoxer
- Dawson John Hoxer
- Jenny L Hubbart
- Stephanie Huddle Hernandez
- Brooke Ann Huff
- Jonathan Tanner Huffiens
- Brittney Taylor Huggard
All providers in Ogden, UT · Primary Care Clinic/Center in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.