# TRUHEALTH CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TruHealth Clinic, LLC, TruHealth Clinic LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295476083
- **Authorized official:** JACQUELINE CLASPELL (CREDENTIALING CLERK)
- **Authorized official phone:** (435) 731-4141

## Contact information

- **Practice address:** 2707 N 1600 W STE 3, OGDEN, UT 84404-6937
- **Practice address phone:** (435) 731-4141
- **Practice address fax:** (801) 923-7944
- **Mailing address:** 2707 N 1600 W STE 3, OGDEN, UT 84404-6937
- **Mailing address phone:** (435) 731-4141
- **Mailing address fax:** (801) 923-7944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QI0500X | Infusion Therapy Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |

## Other

- **Enumeration date:** 04/05/2022
- **Last updated:** 11/03/2022