NPIMap

Organization Active NPI

Onsite Care at Overstock

  • Primary Care Clinic/Center
  • Midvale, UT
National Provider Identifier
1922542091
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
129931 Issued in UT
Legal business name
ONSITE CARE AT OVERSTOCK
Practice address
779 W Coliseum Way
Midvale, UT 84047-4867
Phone
(801) 441-1002
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Authorized official

Name
Darce Latsis
Title
Operations Manager
Phone
(801) 441-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 129931 UT Primary

Addresses

Primary practice location

779 W Coliseum Way
Midvale, UT 84047-4867

Mailing address

560 S 300 E Ste 275
Salt Lake City, UT 84111-3586
Phone (801) 441-1002

Other names 1

  • OnSite Care DBA OnSite care at Overstock Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Onsite Care Inc25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

779 W Coliseum Way
Midvale, UT 84047
Phone (801) 441-1002

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1922542091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S 300 E STE 275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841113586",
            "telephone_number": "801-441-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 W COLISEUM WAY",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840474867",
            "telephone_number": "801-441-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE CARE AT OVERSTOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "LATSIS",
        "authorized_official_first_name": "DARCE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "801-441-1002"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "129931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OnSite Care DBA OnSite care at Overstock",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OnSite Care DBA OnSite care at Overstock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midvale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.