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Contact Information

ACTIVE RE ENTRY
10 SOUTH FAIRGROUNDS ROAD
PRICE, UT84501-2540
 Phone: 435-637-4950
 Fax: 435-637-4952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for ACTIVE RE ENTRY

NPI # 1386786721
LBN Legal business name ACTIVE RE ENTRY
Authorized official NANCY BENTLEY - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 08/22/2020 - About 6 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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