Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pacific Footwear Company, Inc.

Customized Equipment (DME) in Bountiful, UT · enumerated 2009 · authorized official Kevin Clarke, President.

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

National Provider Identifier

1861632671

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Pacific Footwear Company, Inc.

Other name <Unavail>

Practice address 225 N Main St, Bountiful, UT, 84010

Phone (801) 298-1764

Fax (801) 295-2445

Enumeration date Mar 6, 2009

Last updated in NPPES Apr 22, 2025

Taxonomy & classification

332BC3200X Customized Equipment (DME) Suppliers Primary

335E00000X Prosthetic/Orthotic Supplier Suppliers Secondary

Authorized official

Name Kevin Clarke

Title President

Phone (503) 524-9656

Other identifiers

Identifier	Type	State	Issuer
260051087001	Medicaid	UT	-

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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-04-22. Verify at npiregistry.cms.hhs.gov.

Where is Pacific Footwear Company, Inc. located?

The practice location on file with NPPES is in Bountiful, UT.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-22.