Healthcare Provider Details

I. General information

NPI: 1235401126
Provider Name (Legal Business Name): LOGAN URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2012
Last Update Date: 02/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

981 S MAIN ST SUITE #180
LOGAN UT
84321-6053
US

IV. Provider business mailing address

981 S MAIN ST SUITE #180
LOGAN UT
84321-6053
US

V. Phone/Fax

Practice location:
  • Phone: 435-753-2848
  • Fax: 435-753-0155
Mailing address:
  • Phone: 435-753-2848
  • Fax: 435-753-0155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. CHRISTOPHER JAMES MORGAN
Title or Position: OWNER/MEDICAL DIRECTOR
Credential: F.N.P.
Phone: 435-753-2848