Organization
ALPINE HOME MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BROADBENT (OWNER)
(801) 590-2703
Entity
Organization
Contact information
Practice address
753 W HIGHWAY 40, VERNAL, UT 84078-2427
(435) 781-6594
(435) 781-6595
Mailing address
132 E 13065 S STE 200, DRAPER, UT 84020-5646
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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