Hidden Valley Family Medicine Inc
NPI 1144246984ActiveOrganization· Family Medicine· Draper, UT
Family Medicine in Draper, Utah, registered in NPPES in July 2006. The authorized official on file is Dani Lassiter, Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144246984 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2006 |
| Last updated in NPPES | May 8, 2024 |
| Certified by provider | May 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 188509-1205 | UT |
| Family Medicine | 207Q00000X | 181268-1205 | UT |
| Family Medicine | 207Q00000X | 181191-8905 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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