Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Health Diversified - Medical Group of Utah

Multi-Specialty Clinic/Center in Holladay, UT · enumerated 2022 · authorized official Ann Smith, Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508518085

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Registry record

Entity type Organization (Type 2)

Legal business name Health Diversified - Medical Group of Utah

Practice address 4544 S Holladay Blvd, Holladay, UT, 84117

Phone (801) 682-6817

Fax (385) 213-0356

Enumeration date Jan 25, 2022

Last updated in NPPES Mar 6, 2026

Taxonomy & classification

103TC1900X Counseling Psychologist Behavioral Health & Social Service Providers Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207SG0201X Clinical Genetics (M.D.) Physician Allopathic & Osteopathic Physicians Secondary

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

251B00000X Case Management Agency Agencies Secondary

261QC1800X Corporate Health Clinic/Center Ambulatory Health Care Facilities Secondary

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Primary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Ann Smith

Title Authorized Official

Phone (801) 682-6817

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Health Diversified - Medical Group of Utah?

Health Diversified - Medical Group of Utah is registered in NPPES as a Multi-Specialty Clinic/Center (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Douglas Smith Family Medicine Physician · Holladay, UT NPI 1174681928

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-06.