Organization
ALPINE HOME MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY BROADBENT (PRESIDENT)
(801) 463-0044
Entity
Organization
Contact information
Practice address
4030 S STATE ST, SALT LAKE CITY, UT 84107-1511
(801) 463-0044
(801) 463-2880
Mailing address
43 S MAIN ST, RICHFIELD, UT 84701-2554
(435) 896-6474
(435) 896-6515
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
5231126-1714
UT
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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