Indiemed LLC
Organization Active NPI Primary Care Clinic/Center · Hurricane, UT
NPI 1932640752 · NPPES record last updated Mar 13, 2017
Key facts
- NPI
- 1932640752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 7443632-1206 (UT)
- Legal business name
- INDIEMED LLC
- Practice address
- 25 N 2000 W Ste 3
Hurricane, UT 84737-4115 - Phone
- (435) 635-1148
- Fax
- (435) 635-1146
- NPI assigned
- Mar 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Philip Carter, PA-C
- Title
- Physician Assistant
- Phone
- (435) 635-1148
Practitioners 1
-
Philip Carter, PA-C
National Provider Directory
Locations
25 N 2000 W
Ste 3
Hurricane, UT 84737
Phone (435) 635-1148
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 7443632-1206 | UT | Yes |
Addresses
Primary practice location
25 N 2000 W Ste 3
Hurricane, UT 84737-4115
Mailing address
25 N 2000 W Ste 3
Hurricane, UT 84737-4115
Phone (435) 635-1148
Other providers in Hurricane, UT
- Hurricane Valley Eye Care PC
- Hurricane Valley Fire Special Services District
- Ihc Health Services Inc
- Ihc Health Services Inc
- Ihc Health Services Inc
- Samuel Isaac Inouye
- Intermountain
- Robert Ipp
- Desiree Irvine
- Courtney J Ivory
All providers in Hurricane, 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 Mar 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.