Altitude Kidney Health Pllc

LBN: Altitude Kidney Health Pllc
Altitude Kidney Health Pllc is an health care organization with primary practice located at 350 S 400 E , Bountiful UT 84010-4932. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Altitude Kidney Health Pllc can be contacted via phone (720) 500-3439, or through Brookens, Andrew Eric via phone (720) 500-3439.

Contact Information

Primary practice address
350 S 400 E Bountiful UT 84010-4932
Phone: (720) 500-3439
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brookens, Andrew Eric Doctor of Medicine (MD)
Phone: (720) 500-3439

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1578102059
LBN Legal business name Altitude Kidney Health Pllc
DBA Doing business as
Authorized official Brookens, Andrew Eric Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2019
Last updated Dec 31st, 2019 - about 6 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 1578102059 NPPES
Utah Other 11249743-8905 UT CDS NUMBER
Utah Other 11249743-1205 UT CDS NUMBER

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