INFINITE ARCHES LLC


Address: 136 25th St, Ogden, UT 84401-1302
Phone: 8019287770

INFINITE ARCHES LLC (NPI# 1467912139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467912139
Entity Type Organization
Organization Name INFINITE ARCHES LLC
Practice Address 136 25th St
Ogden
UT 84401-1302
Mailing Address Po Box 41
Ogden
UT 84402-0041
Practice Telephone 8019287770
Mailing Telephone 8019287770
Enumeration Date 2019-03-20
Last Update Date 2019-03-20
Authorized Official Name MR. DANIEL TRACY KELSO (PRESIDENT)
Authorized Official Telephone 6156635483
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 136 25TH ST
City OGDEN
State UT
Zip Code 84401-1302

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City OGDEN
Zip Code 84401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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