Lars Bergeson, M.D., Pc

LBN: Lars Bergeson, M.D., Pc
Lars Bergeson, M.D., Pc is an health care organization with primary practice located at 382 W 280 N , Providence UT 84332-0609. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Lars Bergeson, M.D., Pc can be contacted via phone (435) 752-0330, or through Bergeson, Lars via phone (435) 752-0330.

Contact Information

Primary practice address
382 W 280 N Providence UT 84332-0609
Phone: (435) 752-0330
Fax: (435) 755-0922
Website:
Map and Directions
Authorized official contact:
Name: Bergeson, Lars Doctor of Medicine (MD)
Phone: (435) 752-0330

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1982933750
LBN Legal business name Lars Bergeson, M.D., Pc
DBA Doing business as
Authorized official Bergeson, Lars Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2009
Last updated Dec 8th, 2009 - about 15 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 1982933750 NPPES
Utah MEDICAID 157381244047

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