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UTAH WOUND CARE AND HYPERBARIC CENTER LLC NPI 1639815483


NPI Information

NPI: 1639815483
Provider Name: UTAH WOUND CARE AND HYPERBARIC CENTER LLC

Doing Business As: UTAH WOUND CARE CENTER

Classification: Preventive Medicine - 2083P0011X
Entity Type: Organization

Specialization: Undersea and Hyperbaric Medicine

CLIA Number: 46D2260952

Address:
209 E GORDON AVE STE 1
LAYTON, UT
ZIP 84041
Phone: (385) 786-6100
Get Directions

UTAH WOUND CARE AND HYPERBARIC CENTER LLC is an undersea and hyperbaric medicine preventive medicine in Layton, UT. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. UTAH WOUND CARE AND HYPERBARIC CENTER LLC NPI is 1639815483. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Utah Wound Care Center.

The provider's business location address is:

209 E GORDON AVE STE 1
LAYTON, UT
ZIP 84041-357
Phone: (385) 786-6100
Fax: (385) 786-6101

The provider's authorized official is Kristyn Dice .
The authorized official title is Credentialing Manager and has the following contact phone number (209) 587-9330.

The CLIA number assigned to this NPI record is 46D2260952 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2022 and was last updated on 10/7/2022.


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
1207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineNo
2363A00000XPhysician AssistantNo
32083P0011XPreventive MedicineUndersea and Hyperbaric MedicineYes

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
112742218-0151OTHERUTAHUT BUISNESS LICENSE REGISTRATION

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.