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Contact Information

CANYONLANDS MEDICAL LC
5790 HARRISON BLVD
STE. 2
SOUTH OGDEN, UT84403-4325
 Phone: 801-393-6333
 Fax: 801-394-6333
 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 1689846289
LBN Legal business name CANYONLANDS MEDICAL LC
Authorized official DAR NELSON - (PRES.)
Entity Organization
Organization subpart 1 No
Enumeration date 03/24/2008
Last updated 03/24/2008 - About 18 years ago
Identifiers
UT License # 5528522-1703
UT Other 4954590001 MEDICARE SUPPLIER
UT Other 5528522-1703 PHARMACY
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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