MEDICARE: AFTER HOURS MEDICAL LLC, DBA MEDALLUS MEDICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1366559791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFTER HOURS MEDICAL LLC, DBA MEDALLUS MEDICAL

Provider Business Mailing Address
First Line	:	10433 S REDWOOD RD STE 2
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-8502
Country	:	US
Telephone Number	:	801-261-1919
Fax Number	:

Provider Business Practice Location Address
First Line	:	7998 SOUTH 1300 EAST
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84094-0744
Country	:	US
Telephone Number	:	801-255-2000
Fax Number	:	801-352-7185

Authorized Official
Title or Position	:	COMPLIANCE ADMIN ASST/ CREDENTIALIN
Name	:	MRS. MONIQUE S ARAGON
Credential	:
Telephone Number	:	801-260-1919

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	06/16/2025

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