DIABETES RELIEF UTAH OGDEN LLC (NPI# 1619402799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619402799 |
| Entity Type | Organization |
| Organization Name | DIABETES RELIEF UTAH OGDEN LLC |
| Practice Address |
2086 N 1700 W Ste D Layton UT 84041 |
| Mailing Address |
2086 North 1700 West Ste. D Layton UT 84041 |
| Practice Telephone | 3855154100 |
| Practice Fax Number | 3853511150 |
| Mailing Telephone | 3855154100 |
| Mailing Fax Number | 3853511150 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | KIMBERLY LONG (PCA/CREDENTIALING) |
| Authorized Official Telephone | 3855154100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
TX | Ambulatory Health Care Facilities |
| Street Address |
2086 N 1700 W STE D |
| City | LAYTON |
| State | UT |
| Zip Code | 84041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720080369 | Brian Willard Loveridge | Emergency Medicine | 2086 N 1700 W Ste D, Layton, UT 84041-1164 | 2005-08-12 |
| 1811409774 | Dana Shelton | Nurse Practitioner | 2086 N 1700 W Ste D, Layton, UT 84041-1164 | 2017-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306629 | Oakstead Nursing Services, LLC | Clinic/Center | 1492 W Antelope Dr Ste 208a, Layton, UT 84041-1158 | 2020-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519390 | Olympus Health and Performance | Clinic/Center | 2233 E Murray Holladay Rd, Holladay, UT 84117-5349 | 2020-05-07 |
| 1801363460 | Pure Infusion Suites, LLC | Clinic/Center | 222 S Main St Ste 500, Salt Lake City, UT 84101-2275 | 2018-10-31 |
| 1114053907 | South Valley Inpulse Center | Clinic/Center | 12244 Business Park Dr Ste 160, Draper, UT 84020-6533 | 2007-02-26 |
| 1316046915 | Coram Healthcare Corporation of Utah | Clinic/Center | 120 W Vine St, Suite 140, Murray, UT 84107-4774 | 2006-09-21 |
Please comment or provide details below to improve the information on DIABETES RELIEF UTAH OGDEN LLC.
| 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.