1639771249 NPI number — MOUNTAIN VIEW SLEEP CENTER LLC

Table of content: (NPI 1639771249)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639771249 NPI number — MOUNTAIN VIEW SLEEP CENTER LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MOUNTAIN VIEW SLEEP CENTER LLC
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:
Provider Other Organization Name Type Code:
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:
1639771249
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/19/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3665 S 8400 W STE 260
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAGNA
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84044-4912
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-452-5933
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3665 S 8400 W
Provider Second Line Business Practice Location Address:
STE 260
Provider Business Practice Location Address City Name:
MAGNA
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84044-4912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
385-777-0535
Provider Business Practice Location Address Fax Number:
801-250-3204
Provider Enumeration Date:
11/10/2020

Additional Information

Authorized Official

Authorized Official Last Name:
CATTEN
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
D
Authorized Official Title or Position:
PROVIDER
Authorized Official Telephone Number:
385-777-0535

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: UT101772 . This is a "DR. MICHAEL CATTEN" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 40618943665 , issued by the state of ( UT ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com