Bonfire Revenue

LBN: Bonfire Revenue
Bonfire Revenue is an health care organization with primary practice located at 5547 S Walden Glen Dr , Murray UT 84123-7942. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Durable Medical Equipment & Medical Supplies. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Bonfire Revenue can be contacted via phone (877) 647-2455, or through Boutsis, Preston via phone (877) 647-2455.

Contact Information

Primary practice address
5547 S Walden Glen Dr Murray UT 84123-7942
Phone: (877) 647-2455
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boutsis, Preston
Phone: (877) 647-2455

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1548032568
LBN Legal business name Bonfire Revenue
DBA Doing business as
Authorized official Boutsis, Preston
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2023
Last updated Oct 24th, 2023 - about 3 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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