Blue Sage Medical Llc

LBN: Blue Sage Medical Llc
Blue Sage Medical Llc is an health care organization with primary practice located at 6300 Sagewood Dr Suite H-532, Park City UT 84098-7502. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as the primary health care specialty. Blue Sage Medical Llc can be contacted via phone (801) 718-7280, or through Coccimiglio, Gina via phone (801) 718-7280.

Contact Information

Primary practice address
6300 Sagewood Dr Suite H-532 Park City UT 84098-7502
Fax: (888) 853-5162
Website:
Authorized official contact:
Name: Coccimiglio, Gina Nurse Practitioner (NP)

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 123071-4405 Utah

Profile Details

NPI number 1487016226
LBN Legal business name Blue Sage Medical Llc
DBA Doing business as
Authorized official Coccimiglio, Gina Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2016
Last updated Aug 29th, 2017 - about 7 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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