Greenwood Family Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREENWOOD FAMILY CLINIC LLC

Practice address

3352 W South Jordan Pkwy # 8
South Jordan, UT 84095-8938

Phone

(385) 490-6264

NPI assigned

Dec 26, 2023

Organization subpart

No

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

Authorized official

Name

Brittany Tichenor

Title

Owner

Phone

(385) 490-6264

Specialties & licenses 1

Addresses

Other names 1

• other Other name

Locations

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1932978459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3352 W SOUTH JORDAN PKWY # 8",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958938",
            "telephone_number": "385-490-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3352 W SOUTH JORDAN PKWY # 8",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958938",
            "telephone_number": "385-490-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "TICHENOR",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-490-6264"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "other",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinic/Center in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.