Healthcare Provider Details
I. General information
NPI: 1326141839
Provider Name (Legal Business Name): AFTER HOURS MEDICAL LLC, DBA MEDALLUS MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2006
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
476 N 900 W SUITE #C
AMERICAN FORK UT
84003-5199
US
IV. Provider business mailing address
10433 S REDWOOD RD STE 2
SOUTH JORDAN UT
84095-8502
US
V. Phone/Fax
- Phone: 801-492-1611
- Fax: 801-492-1480
- Phone: 801-260-1919
- Fax: 801-260-1441
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MONIQUE
S
ARAGON
Title or Position: COMPLIANCE ADMIN ASST/ CRED LIAISON
Credential:
Phone: 801-260-1919