Mountainstar Canyon Surgical Clinic Llc

LBN: Mountainstar Canyon Surgical Clinic Llc
Mountainstar Canyon Surgical Clinic Llc is an health care organization with primary practice located at 984 Medical Dr Suite 2, Brigham City UT 84302-3604. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mountainstar Canyon Surgical Clinic Llc can be contacted via phone (435) 723-0329, or through Kane, David J. via phone (801) 569-5933.

Contact Information

Primary practice address
984 Medical Dr Suite 2 Brigham City UT 84302-3604
Phone: (435) 723-0329
Fax: (435) 723-0429
Website:
Map and Directions
Authorized official contact:
Name: Kane, David J.
Phone: (801) 569-5933

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1831424324
LBN Legal business name Mountainstar Canyon Surgical Clinic Llc
DBA Doing business as
Authorized official Kane, David J.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2009
Last updated Jan 25th, 2010 - 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 1831424324 NPPES
Utah MEDICAID 1831424324

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