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Contact Information

BRIGHAM CITY ARTHRITIS CLINIC PC
984 SOUTH MEDICAL DR
SUITE #3
BRIGHAM CITY, UT84302
 Phone: 435-723-5500
 Fax: 435-723-5507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRIGHAM CITY ARTHRITIS CLINIC PC

NPI # 1235201526
LBN Legal business name BRIGHAM CITY ARTHRITIS CLINIC PC
Authorized official HAROLD VONK - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2006
Last updated 04/07/2011 - About 15 years ago
Identifiers
UT License # 1695551205
ID Medicaid 806633400
UT Medicaid 485484678053
WY Medicaid 118919100
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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