Medically Directed Care Clinic Salt Lake LLC
NPI 1548969306 · Clinic/Center · Salt Lake City, UT
Medically Directed Care Clinic Salt Lake LLC is a Clinic/Center organization in Salt Lake City, UT (NPI 1548969306).
Provider details
- NPI number
- 1548969306
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Aj Yergensen, Admin(435) 986-9369
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Mdc Clinic
Registry dates
- Enumerated
- 2023-03-01
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Frequently asked questions
- What is Medically Directed Care Clinic Salt Lake LLC's NPI number?
- Medically Directed Care Clinic Salt Lake LLC's National Provider Identifier (NPI) is 1548969306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medically Directed Care Clinic Salt Lake LLC?
- Medically Directed Care Clinic Salt Lake LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Medically Directed Care Clinic Salt Lake LLC located?
- Medically Directed Care Clinic Salt Lake LLC's practice location on file with NPPES is 4465 S 900 E Ste 2754, Salt Lake City, UT 84124-2469.
- What is Medically Directed Care Clinic Salt Lake LLC's phone number?
- The practice phone number listed in the NPPES registry for Medically Directed Care Clinic Salt Lake LLC is (435) 300-0472.
- Who is the authorized official for Medically Directed Care Clinic Salt Lake LLC?
- The authorized official listed on Medically Directed Care Clinic Salt Lake LLC's NPPES record is Aj Yergensen, Admin. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medically Directed Care Clinic Salt Lake LLC's NPI active?
- Yes — Medically Directed Care Clinic Salt Lake LLC's NPI (1548969306) is active in the NPPES registry as of the last update on 2023-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.