NPIMap

Organization Active NPI

Usu Student Health & Wellness

  • Health Service Clinic/Center
  • Logan, UT
National Provider Identifier
1992170443
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
317131-1204 Issued in UT
Legal business name
USU STUDENT HEALTH & WELLNESS
Practice address
9100 Old Main HL
Logan, UT 84322-9100
Phone
(435) 797-1131
Fax
(435) 797-8010
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Julia Bullock
Title
Office Manager
Phone
(435) 797-1131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 317131-1204 UT Primary

Addresses

Primary practice location

9100 Old Main HL
Logan, UT 84322-9100

Mailing address

9100 Old Main HL
Logan, UT 84322-9100
Phone (435) 797-1131

National Provider Directory

National Provider Directory
Tax ID family
Utah State University12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

9100 Old Main Hl
Logan, UT 84322
Phone (435) 797-1660

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1992170443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 OLD MAIN HL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843229100",
            "telephone_number": "435-797-1131",
            "fax_number": "435-797-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 OLD MAIN HL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843229100",
            "telephone_number": "435-797-1131",
            "fax_number": "435-797-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USU STUDENT HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-797-1131"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "UT",
            "license": "317131-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.