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Contact Information

CREEKSIDE MEDICAL EQUIPMENT & SUPPLIES
376 SUNLAND DR
SUITE 9
SAINT GEORGE, UT84790-5612
 Phone: 435-673-5540
 Fax: 435-673-5052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for CREEKSIDE MEDICAL EQUIPMENT & SUPPLIES

NPI Number 1194978015
LBN Legal business name CREEKSIDE MEDICAL EQUIPMENT & SUPPLIES
Authorized official SIONE ROBINSON - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2008
Last updated 04/21/2010 - About 16 years ago
Identifiers
UT License # 5326946-1703
UT Medicaid 870431335009
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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