Cache Ketamine And Mental Health

LBN: Martin Medical Group Llc
Cache Ketamine And Mental Health is an health care organization with primary practice located at 115 Golf Course Rd Ste E , Logan UT 84321-5934. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is the primary health care specialty. Martin Medical Group Llc can be contacted via phone (435) 999-4059, or through Martin, Colby via phone (435) 881-0662.

Contact Information

Primary practice address
115 Golf Course Rd Ste E Logan UT 84321-5934
Phone: (435) 999-4059
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Colby
Phone: (435) 881-0662

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1467081448
LBN Legal business name Martin Medical Group Llc
DBA Doing business as Cache Ketamine And Mental Health
Authorized official Martin, Colby
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2020
Last updated Feb 23rd, 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 1467081448 NPPES
Other 12627418 CAQH

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