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institution
Noel Nellis, Md
Point of Service in South Ogden, Utah
NPI 1447644240

Noel Nellis, Md is a Point of Service based in South Ogden, UT. Noel Nellis, Md practices in South Ogden, UT. The NPI Number for Noel Nellis, Md is 1447644240 and holds a License No. 146023-1205 (Utah).

The current practice location address for Noel Nellis, Md is 831 E 5875 S, South Ogden, UT and can be reached out via phone at 801-479-9715 and via fax at 801-479-9452.

Location: 831 E 5875 S, South Ogden, UT, 84405-4997
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447644240
Provider Name
Noel Nellis, Md
Credential
Provider Entity Type
Organization
Address
831 E 5875 S, South Ogden, UT, 84405-4997
Phone Number
801-479-9715
Fax Number
801-479-9452
Provider Enumeration Date
03/19/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
831 E 5875 S
City
South Ogden
State
Utah
Zip
84405-4997
Phone Number
801-479-9715
Fax Number
801-479-9452
person
Provider Business Mailing Address Details
Address
831 E 5875 S
City
South Ogden
State
Utah
Zip
84405-4997
Phone Number
801-479-9715
Fax Number
801-479-9452
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
146023-1205 (Utah)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
146023-1205 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
146023-1205 (Utah)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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