Accredo Health Group Inc

LBN: Accredo Health Group Inc
Accredo Health Group Inc is an health care organization with primary practice located at 3488 S Main St , Salt Lake City UT 84115-4419. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Accredo Health Group Inc can be contacted via phone (801) 832-0222, or through Perini, Vic via phone (314) 684-6273.

Contact Information

Primary practice address
3488 S Main St Salt Lake City UT 84115-4419
Phone: (801) 832-0222
Fax: (801) 832-0333
Website:
Map and Directions
Authorized official contact:
Name: Perini, Vic
Phone: (314) 684-6273

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 55435331704 Utah
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1902857501
LBN Legal business name Accredo Health Group Inc
DBA Doing business as Accredo Health Group Inc
Authorized official Perini, Vic
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Oct 7th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902857501 NPPES
Idaho MEDICAID 000203800
Idaho MEDICAID 1902857501
Idaho MEDICAID 000201500
Idaho MEDICAID 268950
Idaho Other 2100126

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