Organization · Type 2 NPI
Great Basin Urgent Care LLC
Multi-Specialty Clinic/Center · Logan, UT
NPI number
1366022444
Active
Practice location
1201 S Main St Ste 110
Logan, UT 84322-2600
Mailing address
1201 S Main St Ste 110
Logan, UT 84321-8504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| General Practice Physician | 208D00000X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Rural Health Clinic/Center | 261QR1300X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1366022444
Great Basin Urgent Care LLC's National Provider Identifier is 1366022444, issued on Apr 12, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Logan, UT. The record was last updated on Jan 27, 2023.