ADVANCED INTEGRATED MEDICAL LLC NPI 1396369435

NPI Information

NPI: 1396369435
Provider Name: ADVANCED INTEGRATED MEDICAL LLC

Doing Business As: ADVANCED INTEGRATED MEDICAL OF CACHE VALLEY

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1635 N 200 E
LOGAN, UT
ZIP 84341
Phone: (435) 932-6138
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ADVANCED INTEGRATED MEDICAL LLC is a health service clinic center in Logan, UT. ADVANCED INTEGRATED MEDICAL LLC NPI is 1396369435. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Integrated Medical Of Cache Valley.

The provider's business location address is:

1635 N 200 E
LOGAN, UT
ZIP 84341-913
Phone: (435) 932-6138
Fax: (435) 213-9325

The provider's authorized official is Dee S Stevens .
The authorized official title is Member and has the following contact phone number (435) 764-1775.

The enumeration date for this NPI number is 6/4/2020 and was last updated on 6/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1962456681	OTHER	UTAH	OTHER INSURERS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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