Advanced Integrated Medical Of Cache Valley

LBN: Advanced Integrated Medical Llc
Advanced Integrated Medical Of Cache Valley is an health care organization with primary practice located at 1635 N 200 E , Logan UT 84341-1913. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Advanced Integrated Medical Llc can be contacted via phone (435) 932-6138, or through Stevens, Dee S via phone (435) 764-1775.

Contact Information

Primary practice address
1635 N 200 E Logan UT 84341-1913
Phone: (435) 932-6138
Fax: (435) 213-9325
Website:
Map and Directions
Authorized official contact:
Name: Stevens, Dee S Doctor of Chiropractic (DC)
Phone: (435) 764-1775

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1396369435
LBN Legal business name Advanced Integrated Medical Llc
DBA Doing business as Advanced Integrated Medical Of Cache Valley
Authorized official Stevens, Dee S Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2020
Last updated Jun 29th, 2020 - about 4 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 1396369435 NPPES
Utah Other 1962456681 OTHER INSURERS

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