| Logan Regional Hospital Physicians | |
|
1400 N 500 E Logan UT 84341-2455 | |
| (435) 716-1000 | |
| Not Available |
| Full Name | Logan Regional Hospital Physicians |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1400 N 500 E, Logan, Utah |
| Authorized Official Name and Position | Denis Smith (CFO) |
| Authorized Official Contact | 8014422000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Regional Hospital Physicians Po Box 30180 Salt Lake City UT 84130-0180 Ph: () - | Logan Regional Hospital Physicians 1400 N 500 E Logan UT 84341-2455 Ph: (435) 716-1000 |
| NPI Number | 1710996673 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710996673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 2005-HOSP-190 (Utah) | Primary |
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