MOUNTAIN WEST MEDICAL CLINIC – Primary Care Clinic/Center, NPI 1073475794

MOUNTAIN WEST MEDICAL CLINIC is a healthcare provider. based in South jordan, Utah. specializing in Primary Care Clinic/Center. The NPI Number for MOUNTAIN WEST MEDICAL CLINIC is 1073475794

Main info

Organization
Name
MOUNTAIN WEST MEDICAL CLINIC
NPI
1073475794
Phone
(385) 281-9846
Address
922 W BAXTER DR STE 110
Authorized Official
MATTHEW SRITHIEMTHONG CEO
Enumeration Date
1 December 2025
Last Update Date
1 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for MOUNTAIN WEST MEDICAL CLINIC

  • 922 W BAXTER DR STE 110

    SOUTH JORDAN, UT 840958626

    Phone: (385) 281-9846

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84095)

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Reviews

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Frequently asked questions

What is the standard ID for MOUNTAIN WEST MEDICAL CLINIC in the U.S.?
In the U.S., MOUNTAIN WEST MEDICAL CLINIC is identified by NPI 1073475794.
Is MOUNTAIN WEST MEDICAL CLINIC's NPI status active today?
Active status means MOUNTAIN WEST MEDICAL CLINIC's NPI record is not deactivated in the public file.
Which specialty label fits MOUNTAIN WEST MEDICAL CLINIC?
NPPES ties MOUNTAIN WEST MEDICAL CLINIC to Primary Care Clinic/Center in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MOUNTAIN WEST MEDICAL CLINIC?
MOUNTAIN WEST MEDICAL CLINIC shows a connection to South Jordan, Utah in registry-derived data.
Can I export MOUNTAIN WEST MEDICAL CLINIC's record?
You can download the official NPPES record; we summarize key fields for readability.

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