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Contact Information

CANYONLANDS MEDICAL LC
285 W TABERNACLE ST
STE 101
SAINT GEORGE, UT84770-3385
 Phone: 435-634-7625
 Fax: 435-634-0716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for CANYONLANDS MEDICAL LC

NPI Number 1336144096
LBN Legal business name CANYONLANDS MEDICAL LC
Authorized official EARLE GREGORY - (OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2005
Last updated 08/22/2020 - About 6 years ago
Identifiers
UT License # 5528522-1703
UT Other 5528522-1703 PHARMACY NUMBER
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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