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Cedar Creek Family Health Care LLC — NPI 1639323280, Tooele, UT | NPI Central

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NPI 1639323280

OrganizationActive

Cedar Creek Family Health Care LLC

NPI 1639323280 · Clinic/Center · Tooele, UT

Provider details

NPI number: 1639323280
Entity type: Organization
Primary specialty: Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Lu Ann Jacobs-Peterson, Fnp(801) 232-1998
License: 219855-8900 (UT)

Specialties & taxonomies

Clinic/CenterPrimary261Q00000XLicense 219855-8900 (UT)
Ambulatory Health Care Facilities

Practice location

453 N Main St Ste a

Tooele, UT 84074-1654

Phone: (801) 232-1998

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

14540 Majestic Oaks Ln

Herriman, UT 84096-3645

Other names (DBA / former)

Former legal business name: Majestic Oaks Family Health Care

Registry dates

Enumerated: 2008-11-10
Last updated: 2010-04-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.