Active NPI
Ogden Clinic Specialty Services
- Non-Pharmacy Dispensing Site
- Ogden, UT
National Provider Identifier
1861084949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- Legal business name
- OGDEN CLINIC SPECIALTY SERVICES
- Practice address
- 4700 Harrison Blvd
Ogden, UT 84403-4303 - Phone
- (801) 475-3160
- NPI assigned
- Feb 9, 2021
- Last updated
- Feb 16, 2021
- Organization subpart
- Yes
- Parent organization
- OGDEN CLINIC UROLOGY PHARMACY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marchelle Jones
- Title
- Credentialing Supervisor
- Phone
- (801) 475-3481
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | NU | Primary |
Addresses
Primary practice location
4700 Harrison Blvd
Ogden, UT 84403-4303
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114203668 | Medicaid | UT |
National Provider Directory
National Provider Directory- Part of
- Ogden Clinic Specialty Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613433600000",
"number": "1861084949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5546",
"city": "DENVER",
"state": "CO",
"postal_code": "802175546",
"telephone_number": "801-475-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 HARRISON BLVD",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034303",
"telephone_number": "801-475-3160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OGDEN CLINIC SPECIALTY SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OGDEN CLINIC UROLOGY PHARMACY",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MARCHELLE",
"authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
"authorized_official_telephone_number": "801-475-3481"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114203668",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ogden, UT
- Ogden Center for Change, LLC
- Ogden City Corporation (Ogden City Ambulance)
- Ogden City School District (Ogden Preschool)
- Ogden City School District
- Ogden Clinic PC
- Ogden Clinic Specialty Services LLC (Ogden Clinic PC)
- Ogden Ear Nose & Throat PC
- Ogden Endoscopy Center LLC (Intermountain Health Gastroenterology Center - McKay-Dee)
- Ogden Imaging LLC (Utah Imaging Ogden)
- Ogden Internal Medicine & Urology LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.