Bountiful Foot & Ankle Center

LBN: West Valley Foot & Ankle Center
Bountiful Foot & Ankle Center is an health care organization with primary practice located at 3540 S 4000 W Ste 480 , West Valley City UT 84120-3285. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. West Valley Foot & Ankle Center can be contacted via phone (801) 966-3556, or through Mcmanama, Craig Alan via phone (801) 966-3556.

Contact Information

Primary practice address
3540 S 4000 W Ste 480 West Valley City UT 84120-3285
Fax: (801) 966-9839
Website:
Authorized official contact:
Name: Mcmanama, Craig Alan Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 781028940501 Utah

Profile Details

NPI number 1033314125
LBN Legal business name West Valley Foot & Ankle Center
DBA Doing business as Bountiful Foot & Ankle Center
Authorized official Mcmanama, Craig Alan Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2007
Last updated Jun 18th, 2008 - about 16 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 1033314125 NPPES
Utah MEDICAID 529741769004

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