ASPEN HEALTH, LLC — NPI 1801352729 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in LEHI, UT)

CMS-1500 Box 24J / 33a • NPI

1801352729

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM0855X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

179 N 1200 E STE 104, LEHI, UT, 84043-2255

✓ 9-Digit EDI 837 ZIP+4 (84043-2255)

Practice Phone & Referral Fax

(801) 377-0088

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1801352729 (ASPEN HEALTH, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1801352729` (NPI-2 Organization / Facility)
Provider / Legal Name	ASPEN HEALTH, LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM0855X` (Clinic/Center, Adolescent and Children Mental Health)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	179 N 1200 E STE 104, LEHI, UT, 84043-2255
Practice Telephone / Fax	Tel: (801) 377-0088
Administrative Mailing Address	PO BOX 281, SPRINGVILLE, UT, 84663-0281
Enumeration & Last Sync	Enumerated: 2019-02-15 \| CMS Record Updated: 2020-08-28
Authorized Official	MARIANNE HAINES (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

179 N 1200 E STE 104, LEHI, UT, 84043-2255

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Plain-English Taxonomy & CMS Crosswalk (261QM0855X)

What Does Taxonomy Code 261QM0855X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0855X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ASPEN HEALTH, LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Secondary
`2080A0000X` — Pediatrics, Adolescent Medicine Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Secondary
`261QH0100X` — Clinic/Center, Health Services Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0850X` — Clinic/Center, Adult Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM1300X` — Clinic/Center, Multi-Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`363LN0000X` — Nurse Practitioner, Neonatal Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Neonatal	State: N/A \| License: `Verified` \| Primary: Secondary
`363LP0200X` — Nurse Practitioner, Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Secondary
`363LP0808X` — Nurse Practitioner, Psych/Mental Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health	State: N/A \| License: `Verified` \| Primary: Secondary
`364SF0001X` — Clinical Nurse Specialist, Family Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Family Health	State: N/A \| License: `Verified` \| Primary: Secondary
`364SP0807X` — Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Child & Adolescent	State: N/A \| License: `Verified` \| Primary: Secondary
`261QM0855X` — Clinic/Center, Adolescent and Children Mental Health Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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ASPEN HEALTH, LLC (NPI #1801352729)