# MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountainstar Primary Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356588008
- **Authorized official:** LOUIS JOSEPH (VP)
- **Authorized official phone:** (615) 373-7630

## Contact information

- **Practice address:** 5405 S 500 E, STE. 100, OGDEN, UT 84405-6957
- **Practice address phone:** (801) 282-5952
- **Practice address fax:** (801) 569-5990
- **Mailing address:** 2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
- **Mailing address phone:** (615) 373-7406
- **Mailing address fax:** (866) 346-1426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2009
- **Last updated:** 08/29/2023