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COTTONTREE FAMILY PRACTICE NPI 1407036189


NPI Information

NPI: 1407036189
Provider Name: COTTONTREE FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 46D0865203

Address:
2230 N UNIVERSITY PKWY
SUITE 1A
PROVO, UT
ZIP 84604
Phone: (801) 377-3413
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COTTONTREE FAMILY PRACTICE is a family medicine in Provo, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COTTONTREE FAMILY PRACTICE NPI is 1407036189. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2230 N UNIVERSITY PKWY
SUITE 1A
PROVO, UT
ZIP 84604-509
Phone: (801) 377-3413
Fax: (801) 655-1890

The provider's authorized official is Shauna Manhart .
The authorized official title is Manager and has the following contact phone number (801) 377-3413.

The CLIA number assigned to this NPI record is 46D0865203 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 9/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineUTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11407036189MEDICAIDUTAH
2000057007MEDICARE PINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.