National Provider Identifier Database

GREAT BASIN URGENT CARE LLC
Multi-Specialty


Contact Information

GREAT BASIN URGENT CARE LLC
1201 S MAIN ST STE 110
LOGAN, UT84322-2600
Phone: 480-547-9256
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X
Family Medicine 207Q00000X
General Practice 208D00000X
Internal Medicine 207R00000X
Medical 363AM0700X
Nurse Practitioner 363L00000X
Primary Care 261QP2300X
Rural Health 261QR1300X
Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for GREAT BASIN URGENT CARE LLC

NPI Number 1366022444
Legal business name
LBN
GREAT BASIN URGENT CARE LLC
Authorized official CHRISTOPHER SESSIONS - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/12/2021
Last updated 01/27/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for GREAT BASIN URGENT CARE LLC

There are currently no reviews for GREAT BASIN URGENT CARE LLC


NPIdb - Home
v2.201