STRATA MEDICAL LLC (NPI# 1699760140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699760140 |
| Entity Type | Organization |
| Organization Name | STRATA MEDICAL LLC |
| Other Organization Name | BULLFROG URGENT CARE |
| Practice Address |
4313 Bullfrog Nps Dro Hwy 276 Lake Powell UT 84533 |
| Mailing Address |
80 W Main St Suite 201 Price UT 84501-2814 |
| Practice Telephone | 4356842288 |
| Practice Fax Number | 4356842239 |
| Mailing Telephone | 4356136500 |
| Mailing Fax Number | 4356136515 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CRAIG S HUMES (MANAGING PARTNER) |
| Authorized Official Telephone | 4356842288 |
| Authorized Official Credential | PAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
1018291206 | UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BullFrog Urgent Care | Doing Business As Name - Organization |
| Street Address |
4313 BULLFROG NPS DRO HWY 276 |
| City | LAKE POWELL |
| State | UT |
| Zip Code | 84533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023103637 | Kristy L Brown | Physician Assistant | 4313 Bullfrog, Lake Powell, UT 84533-4313 | 2006-10-03 |
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881001378 | University of Utah Student Health Center | Clinic/Center | 555 Foothill Dr # Dr1, Salt Lake City, UT 84112-1106 | 2014-07-16 |
| 1669502456 | University of Utah Student Health Center | Clinic/Center | 555 Foothill Dr # 1, Salt Lake City, UT 84112-1106 | 2007-03-07 |
| 1851842926 | South Summit School District | Clinic/Center | 285 E 400 S, Kamas, UT 84036-9641 | 2016-10-24 |
| City | LAKE POWELL |
| Zip Code | 84533 |
Please comment or provide details below to improve the information on STRATA MEDICAL 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.