Oak Hill Medical Group LLC
Family Medicine, Adult Medicine in Liberty, UT. Organization (NPI-2).
NPI number1164061370
StatusActive
Last updated in NPPESMar 16, 2020
Details
- NPI
- 1164061370
- Entity type
- Organization (NPI-2)
- Legal business name
- Oak Hill Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Jan 6, 2020
- Certification date
- Mar 16, 2020
- Last updated
- Mar 16, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | – | – | Yes |
Practice location
6781 N 2100 ELiberty, UT 84310-4701
Phone 435-770-4673 · Fax 855-965-0961
Mailing address
6781 N 2100 ELiberty, UT 84310-4701
Phone 435-770-4673 · Fax 855-965-0961
Authorized official
Leisa Firth
Chief Corporate Officer
4357555906
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