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Contact Information

STRATA MEDICAL LLC
4313 BULLFROG
NPS DRO HWY 276
LAKE POWELL, UT84533
 Phone: 435-684-2288
 Fax: 435-684-2239
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Student Health

261QS1000X
Indicates primary specialty

NPI Profile & details for STRATA MEDICAL LLC

NPI Number 1699760140
LBN Legal business name STRATA MEDICAL LLC
Authorized official CRAIG HUMES - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
UT License # 1018291206
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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