Provider Demographics
NPI:1093026056
Name:DARREN B. JENKINS, D.O.,P.C.
Entity Type:Organization
Organization Name:DARREN B. JENKINS, D.O.,P.C.
Other - Org Name:HEALTH FIRST FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:BOYD
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:801-562-5300
Mailing Address - Street 1:6933 S 1300 W
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84084-2554
Mailing Address - Country:US
Mailing Address - Phone:801-542-8080
Mailing Address - Fax:801-748-0423
Practice Address - Street 1:1561 W 7000 S
Practice Address - Street 2:SUITE 200
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84084-3556
Practice Address - Country:US
Practice Address - Phone:801-562-5300
Practice Address - Fax:801-562-1883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7540742-1204207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU000069625Medicare UPIN