Four Corners Medical Supply

LBN: Four Corners Medical Supply
Four Corners Medical Supply is an health care organization with primary practice located at 154 S Main St , Blanding UT 84511-3733. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Four Corners Medical Supply can be contacted via phone (435) 678-2250, or through Loibl, Tamie J via phone (970) 565-4200.

Contact Information

Primary practice address
154 S Main St Blanding UT 84511-3733
Phone: (435) 678-2250
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Loibl, Tamie J
Phone: (970) 565-4200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1386652881
LBN Legal business name Four Corners Medical Supply
DBA Doing business as
Authorized official Loibl, Tamie J
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Aug 27th, 2008 - about 18 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 1386652881 NPPES
Utah MEDICAID 841071727009

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