Ltc Of Cache Valley

LBN: Phil Rich Inc
Ltc Of Cache Valley is an health care organization with primary practice located at 2380 N 400 E E2, North Logan UT 84341-1749. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Phil Rich Inc can be contacted via phone (435) 787-1212, or through Cowley, Phillip via phone (435) 787-1212.

Contact Information

Primary practice address
2380 N 400 E E2 North Logan UT 84341-1749
Fax: (435) 787-1922
Website:
Authorized official contact:
Name: Cowley, Phillip RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 61935351704 Utah

Profile Details

NPI number 1114024957
LBN Legal business name Phil Rich Inc
DBA Doing business as Ltc Of Cache Valley
Authorized official Cowley, Phillip RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1114024957 NPPES
Other 4610627 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 61935351704 OTHER ID NUMBER-COMMERCIAL NUMBER

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