| Remack Llc | |
|
2380 N 400 E Ste C Logan UT 84341-6000 | |
| (435) 753-7337 | |
| Not Available |
| Full Name | Remack Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2380 N 400 E, Logan, Utah |
| Authorized Official Name and Position | Paul Steven Barnard (CEO) |
| Authorized Official Contact | 4359388508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Remack Llc 7198 W Highway 30 Mendon UT 84325-9713 Ph: (435) 760-7003 | Remack Llc 2380 N 400 E Ste C Logan UT 84341-6000 Ph: (435) 753-7337 |
| NPI Number | 1477926806 |
|---|---|
| Provider Enumeration Date | 11/06/2015 |
| Last Update Date | 03/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477926806 | NPI | - | NPPES |
| 363LP0808X | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 309737-4405 (Utah) | Primary |
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