Intermountain Spine And Pain Center in Logan - Ambulatory Surgical
Intermountain Spine And Pain Center - NPI 1215057955
Intermountain Spine And Pain Center is a Ambulatory Surgical in Logan, Utah. Intermountain Spine And Pain Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Intermountain Spine And Pain Center is 1215057955. The last update date is 2020-08-22.
Intermountain Spine And Pain Center's current location address is 274 N Main St, Logan, Utah. You can contact this provider via phone number 4357531600 and fax number 4357539521. The mailing address for Intermountain Spine And Pain Center is 274 N Main St, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Intermountain Spine And Pain Center |
|---|---|
| Address | 274 N Main St, Logan, Utah |
| Phone Number | 4357531600 |
| Fax Number | 4357539521 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACCOUNTS M |
|---|---|
| Authorized Official Name | Kartsone H Tracey |
| Telephone Number | 4357531600 |
NPI Number Detail
| NPI Number | 1215057955 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 274 N Main St |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843213915 |
| Phone Number | 4357531600 |
| Fax Number | 4357539521 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 0329116-1204 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Intermountain Spine And Pain Center by the Centers for Medicare & Medicaid Services?
The Intermountain Spine And Pain Center has been issued the NPI (National Provider Identifier) 1215057955 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Intermountain Spine And Pain Center is geographically located?
The Intermountain Spine And Pain Center is physically situated at the following location: 274 N Main St, Logan, UT, 843213915.
What is Intermountain Spine And Pain Center's area of expertise and its corresponding taxonomy classification?
The Intermountain Spine And Pain Center's field of specialization is Ambulatory Surgical, and it falls under the taxonomy code 261Qa1903X, which categorizes healthcare providers based on their areas of practice.
When did the Intermountain Spine And Pain Center receive its 1215057955?
The Intermountain Spine And Pain Center was issued its 1215057955 on 2007-03-29, which is the date when the organization was assigned this unique identifier.
When was the information related to Intermountain Spine And Pain Center most recently updated or refreshed?
The details pertaining to the Intermountain Spine And Pain Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.