# STRATA MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BullFrog Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699760140
- **Authorized official:** MR. CRAIG S HUMES PAC (MANAGING PARTNER)
- **Authorized official phone:** (435) 684-2288

## Contact information

- **Practice address:** 4313 BULLFROG, NPS DRO HWY 276, LAKE POWELL, UT 84533
- **Practice address phone:** (435) 684-2288
- **Practice address fax:** (435) 684-2239
- **Mailing address:** 80 W MAIN ST, SUITE 201, PRICE, UT 84501-2814
- **Mailing address phone:** (435) 613-6500
- **Mailing address fax:** (435) 613-6515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | 1018291206 | UT | Yes |

## Other

- **Enumeration date:** 09/12/2005
- **Last updated:** 08/22/2020