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NPI Code Detail

MEDICARE: INFINIA AT OGDEN

MEDICARE: INFINIA AT OGDEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1999NCF925UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790782357
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFINIA AT OGDEN
Provider Business Mailing Address
First Line : 524 E 800 N
Second Line :
City : OGDEN
State : UT
Zip : 84404-3600
Country : US
Telephone Number : 801-782-3740
Fax Number : 801-782-3594
Provider Business Practice Location Address
First Line : 524 E 800 N
Second Line :
City : OGDEN
State : UT
Zip : 84404-3600
Country : US
Telephone Number : 801-782-3740
Fax Number : 801-782-3594
Authorized Official
Title or Position : OWNER
Name : SCOTT THOMAS
Credential :
Telephone Number : 801-295-8000
Provider Enumeration Date : 06/28/2005
Last Update Date : 08/22/2020

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Directions to “INFINIA AT OGDEN ” Practice Location

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