M D Urgent Medical Care LLC
Clinic/Center, Urgent Care in Sandy, UT. Organization (NPI-2).
NPI number1558078113
StatusActive
Last updated in NPPESJul 8, 2023
Details
- NPI
- 1558078113
- Entity type
- Organization (NPI-2)
- Legal business name
- M D Urgent Medical Care LLC
- Organization subpart
- No
- Enumeration date
- Nov 3, 2022
- Certification date
- Jul 8, 2023
- Last updated
- Jul 8, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- 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 |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
Practice location
1025 E 11400 S Ste 103Sandy, UT 84094-6947
Phone 912-308-6496
Mailing address
1025 E 11400 S Ste 103Sandy, UT 84094-6947
Phone 912-308-6496
Authorized official
David Nguyen
Medical Director
9123086496
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