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Contact Information

CACHE VALLEY EAR NOSE & THROAT, PLLC
2245 N 400 E
STE 301
NORTH LOGAN, UT84341-1892
 Phone: 435-753-7880
 Fax: 435-359-4507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CACHE VALLEY EAR NOSE & THROAT, PLLC

NPI Number 1548303795
LBN Legal business name CACHE VALLEY EAR NOSE & THROAT, PLLC
Authorized official LINSEY THALMAN - (BILLING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2007
Last updated 06/24/2022 - About 4 years ago
Identifiers
UT License # C97276
ID Medicaid 805387100
UT Medicaid 1548303795
UT Medicaid 87037196400
WY Medicaid 118280300
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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