Affinity Healthcare, Inc.

LBN: Affinity Healthcare, Inc.
Affinity Healthcare, Inc. is an health care organization with primary practice located at 2380 N 400 E Ste B , North Logan UT 84341-1756. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Affinity Healthcare, Inc. can be contacted via phone (435) 276-0888, or through Jensen, Laval B via phone (435) 276-0888.

Contact Information

Primary practice address
2380 N 400 E Ste B North Logan UT 84341-1756
Phone: (435) 276-0888
Fax: (823) 471-4536
Website:
Map and Directions
Authorized official contact:
Name: Jensen, Laval B
Phone: (435) 276-0888

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1144928854
LBN Legal business name Affinity Healthcare, Inc.
DBA Doing business as
Authorized official Jensen, Laval B
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2023
Last updated Nov 15th, 2023 - about 2 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 1144928854 NPPES
Utah MEDICAID 3006721
Utah MEDICAID 4201995

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