Sage Functional Medicine Center

LBN: Sage Functional Medicine Center
Sage Functional Medicine Center is an health care organization with primary practice located at 55 E 100 N Suite 303, Logan UT 84321-4661. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Sage Functional Medicine Center can be contacted via phone (435) 760-7078, or through Roberts, Lisa Shea via phone (435) 760-7078.

Contact Information

Primary practice address
55 E 100 N Suite 303 Logan UT 84321-4661
Phone: (435) 760-7078
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Lisa Shea A.P.R.N, WHNP, FNP
Phone: (435) 760-7078

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 8689112-4405 Utah

Profile Details

NPI number 1912368549
LBN Legal business name Sage Functional Medicine Center
DBA Doing business as
Authorized official Roberts, Lisa Shea A.P.R.N, WHNP, FNP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2016
Last updated Mar 9th, 2016 - about 8 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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