Trevor Hansen

LBN: Trevor Hansen
Trevor Hansen is an health care organization with primary practice located at 21260 N. 1450 E. , Moroni UT 84646-0383. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Trevor Hansen can be contacted via phone (435) 851-6821, or through Bailey, Paul via phone (435) 851-6821.

Contact Information

Primary practice address
21260 N. 1450 E. Moroni UT 84646-0383
Phone: (435) 851-6821
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Paul
Phone: (435) 851-6821

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1699199935
LBN Legal business name Trevor Hansen
DBA Doing business as
Authorized official Bailey, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2014
Last updated Feb 6th, 2014 - about 10 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 1699199935 NPPES
Utah MEDICAID 000

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