Mountainstar Specialty Services Llc

LBN: Mountainstar Specialty Services Llc
Mountainstar Specialty Services Llc is an health care organization with primary practice located at 1250 E 3900 S Ste 460, Salt Lake City UT 84124-1348. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mountainstar Specialty Services Llc can be contacted via phone (801) 262-3564, or through Joseph, Louis via phone (615) 373-7630.

Contact Information

Primary practice address
1250 E 3900 S Ste 460 Salt Lake City UT 84124-1348
Phone: (801) 262-3564
Fax: (801) 262-3613
Website:
Map and Directions
Authorized official contact:
Name: Joseph, Louis
Phone: (615) 373-7630

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Utah

Profile Details

NPI number 1265638357
LBN Legal business name Mountainstar Specialty Services Llc
DBA Doing business as
Authorized official Joseph, Louis
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2007
Last updated Aug 29th, 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 1265638357 NPPES
Utah MEDICAID 1265638357

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