Medicor, Llc

LBN: Medicor, Llc
Medicor, Llc is an health care organization with primary practice located at 2469 Fort Union Blvd Ste 105, Salt Lake City UT 84121-3343. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Medicor, Llc can be contacted via phone (801) 942-5543, or through Frost, Richard E via phone (801) 942-5543.

Contact Information

Primary practice address
2469 Fort Union Blvd Ste 105 Salt Lake City UT 84121-3343
Fax: (801) 944-4877
Website:
Authorized official contact:
Name: Frost, Richard E

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1053318709
LBN Legal business name Medicor, Llc
DBA Doing business as
Authorized official Frost, Richard E
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 22nd, 2012 - about 12 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 1053318709 NPPES
Utah MEDICAID 870454846001

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