Provider Demographics
NPI:1841528171
Name:FAMILY FIRST CARE
Entity type:Organization
Organization Name:FAMILY FIRST CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:801-794-1054
Mailing Address - Street 1:78 E 900 N
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-1232
Mailing Address - Country:US
Mailing Address - Phone:801-794-1054
Mailing Address - Fax:801-794-1055
Practice Address - Street 1:78 E 900 N
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-1232
Practice Address - Country:US
Practice Address - Phone:801-794-1054
Practice Address - Fax:801-794-1055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT90-182517-1205261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care