Organization
AFFINITY HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVAL B JENSEN (CEO)
(435) 276-0888
Entity
Organization
Contact information
Practice address
93 EAST 200 SOUTH, SUITE 210-B, LOGAN, UT 84321
(435) 276-0888
(833) 471-4536
Mailing address
2380 N 400 E STE B, NORTH LOGAN, UT 84341-1756
(435) 276-0888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3006721
—
UT
05
—
4201995
—
UT
Enumeration date
02/21/2023
Last updated
12/29/2025
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