OrganizationActive
Wasatch Optimal Wellness Clinic LLC
NPI 1508619040 · Health Service Clinic/Center · Heber City, UT
Provider details
- NPI number
- 1508619040
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Fogg, Medical Director / Coo(435) 800-6969
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1716 N Highway 40 Ste 200
Heber City, UT 84032-4677
Phone: (435) 800-6969
Street-level locationGet directions
Mailing address
1716 N Highway 40 Ste 200
Heber City, UT 84032-4677
Other names (DBA / former)
- Doing business as
- Wow Clinic
Registry dates
- Enumerated
- 2024-04-05
- Last updated
- 2025-09-22
- Certified
- 2025-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.