Organization · NPI-2

Aspen Health & Wellness

Family Medicine · Orem, UT

NPI number1013200351

StatusActive

Last updated in NPPESJan 9, 2020

Details

NPI: 1013200351
Entity type: Organization (NPI-2)
Legal business name: Aspen Health & Wellness
Organization subpart: No
Enumeration date: May 19, 2011
Certification date: Jan 9, 2020
Last updated: Jan 9, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
261QH0100X	Clinic/Center, Health Services	–	–
261QI0500X	Clinic/Center, Infusion Therapy	–	–
261QM0850X	Clinic/Center, Adult Mental Health	–	–
261QM0855X	Clinic/Center, Adolescent and Children Mental Health	–	–
261QS1200X	Clinic/Center, Sleep Disorder Diagnostic	–	–
291U00000X	Clinical Medical Laboratory	46D1089668	UT
363LF0000X	Nurse Practitioner, Family	–	–

Practice location

1215 S 1680 W
Orem, UT 84058-4939

Phone 801-356-5555

Mailing address

1215 S 1680 W
Orem, UT 84058-4939

Authorized official

Jon Ward
Ceo
8013565555

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.