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
1395 N 400 E, STE A, LOGAN, UT 84341-7530
(435) 774-4500
Mailing address
132 E 13065 S STE 200, DRAPER, UT 84020-5646
(801) 590-2780
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
6142158-1714
UT
Other
Enumeration date
11/25/2013
Last updated
07/01/2016
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