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
670 S HWY 89, STE A, KANAB, UT 84741-3127
(435) 644-5100
Mailing address
132 E 13065 S, STE 200, DRAPER, UT 84020-8618
(435) 590-2703
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
03/23/2015
Last updated
02/17/2016
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