1972024586 NPI number — BLENDTEC HEALTH CENTER

Table of content: (NPI 1972024586)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972024586 NPI number — BLENDTEC HEALTH CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BLENDTEC HEALTH CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BLENDTEC HEALTH AND WELLNESS CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972024586
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
560 S 300 E STE 275
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALT LAKE CITY
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84111-3586
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-441-1002
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1206 S 1680 W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OREM
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84058-4938
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-225-1281
Provider Business Practice Location Address Fax Number:
801-225-1282
Provider Enumeration Date:
07/05/2017

Additional Information

Authorized Official

Authorized Official Last Name:
LATSIS
Authorized Official First Name:
DARCE
Authorized Official Middle Name:
Authorized Official Title or Position:
OPERATIONS MANAGER
Authorized Official Telephone Number:
801-225-1281

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  10332017-1725 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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