Northern Utah Endoscopy Center, Llc
LBN: Northern Utah Endoscopy Center
Northern Utah Endoscopy Center, Llc is an health care organization with primary practice located at 630 E 1400 N Suite 100A, Logan UT 84341-2534. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Northern Utah Endoscopy Center can be contacted via phone (435) 787-0270, or through Bohman, Duane via phone (435) 787-0270.
Contact Information
Primary practice address
630 E 1400 N Suite 100A
Logan UT 84341-2534
Phone: (435) 787-0270
Fax: (435) 787-0262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 2006-ASF-16794 | Utah |
Profile Details
| NPI number | 1902875669 |
|---|---|
| LBN Legal business name | Northern Utah Endoscopy Center |
| DBA Doing business as | Northern Utah Endoscopy Center, Llc |
| Authorized official | Bohman, Duane Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Apr 28th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902875669 | NPPES |
| Utah | Other | 490004876 | RAILROAD MEDICARE |
| Utah | Other | 2006-ASF-16794 | RAILROAD MEDICARE |
| Utah | MEDICAID | 806091700 | RAILROAD MEDICARE |
| Utah | MEDICAID | 116023100 | RAILROAD MEDICARE |
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