SUNSHINE TERRANCE NPI 1417347113

NPI Information

NPI: 1417347113
Provider Name: SUNSHINE TERRANCE
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
209 W 300 N
LOGAN, UT
ZIP 84321
Phone: (435) 716-8535
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SUNSHINE TERRANCE is a rehabilitation clinic center in Logan, UT. SUNSHINE TERRANCE NPI is 1417347113. The provider is registered as an organization entity type.

The provider's business location address is:

209 W 300 N
LOGAN, UT
ZIP 84321-809
Phone: (435) 716-8535

The provider's authorized official is Brock Keith Christensen .
The authorized official title is Occupational Therapist and has the following contact phone number (435) 512-9071.

The enumeration date for this NPI number is 2/2/2015 and was last updated on 2/2/2015.

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	261QC1500X	Clinic/Center	Community Health	92879094201	UTAH	No
2	261QM1300X	Clinic/Center	Multi-Specialty	92879094201	UTAH	No
3	314000000X	Skilled Nursing Facility		92879094201	UTAH	No
4	261QR0400X	Clinic/Center	Rehabilitation	92879094201	UTAH	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
1	9287909-4201	MEDICARE PIN	UTAH
2	9287909-4201	MEDICAID	UTAH
3	92879094201	MEDICARE OSCAR/CERTIFICATION	UTAH
4	92879094201	MEDICAID	UTAH

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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