NPIMap

Organization Active NPI

Advanced Clinical Services LLC

  • Primary Care Clinic/Center
  • Washington, UT
National Provider Identifier
1851690572
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4810573-4405 Issued in UT
Legal business name
ADVANCED CLINICAL SERVICES LLC
Practice address
471 E Kays Cir
Washington, UT 84780-2162
Phone
(435) 705-4311
Fax
(435) 213-4186
NPI assigned
Mar 21, 2011
Last updated
Mar 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Joanne H. AbegglenNPI 1104909878
Title
Single Member/Owner
Phone
(435) 705-4311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4810573-4405 UT Primary

Addresses

Primary practice location

471 E Kays Cir
Washington, UT 84780-2162

Mailing address

471 E Kays Cir
Washington, UT 84780-2162
Phone (435) 705-4311

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1851690572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E KAYS CIR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802162",
            "telephone_number": "435-705-4311",
            "fax_number": "435-213-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E KAYS CIR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802162",
            "telephone_number": "435-705-4311",
            "fax_number": "435-213-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "ABEGGLEN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SINGLE MEMBER/OWNER",
        "authorized_official_telephone_number": "435-705-4311"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "4810573-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.