Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountainstar Medical Group- Cache Valley, LLC

Organization Family Medicine Physician · NPI 1144475674

Mountainstar Medical Group- Cache Valley, LLC is a Family Medicine Physician in Providence, Utah. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

382 W 280 N
Providence, UT 84332-9753
Phone: (435) 752-0330
Fax: (435) 755-0922
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1144475674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Louis Joseph — Vp · (615) 373-7630
Other names Mountainstar Cache Valley Medical Group; Mountainstar Cache Valley Medical Group
NPI enumeratedNovember 25, 2008
Last updated in NPPESJanuary 2, 2023
Certification dateJanuary 2, 2023
Mailing address2000 Health Park Dr, Brentwood, TN 37027-4525

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