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Contact Information

SPINE CARE CENTER, LLC
6750 S HIGHLAND DRIVE
SUITE 100
COTTONWOOD HEIGHTS, UT84121
 Phone: 801-685-7246
 Fax: 801-747-5487
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for SPINE CARE CENTER, LLC

NPI # 1992736557
LBN Legal business name SPINE CARE CENTER, LLC
Authorized official KYLE MATSUMURA - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2006
Last updated 08/15/2016 - About 10 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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