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Contact Information

DIANE BINGHAM
464 N 300 E
BASEMENT
LOGAN, UT84321-4117
 Phone: 208-650-8362
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for

NPI Number 1376825364
Entity Organization
Organization subpart 1 Not specified
Enumeration date 09/15/2011
Last updated 09/15/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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