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NPI Code Detail

MEDICARE: BCBU, INC.

MEDICARE: BCBU, INC.
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
1251E00000XHome Health Agency05164WY

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 : 1811994122
Entity Type Code : Organization
Provider Name (Legal Business Name) : BCBU, INC.
Provider Business Mailing Address
First Line : 576 W. 900 S.
Second Line : SUITE 260
City : WOODS CROSS
State : UT
Zip : 84010-8127
Country : US
Telephone Number : 801-397-4600
Fax Number : 801-397-4196
Provider Business Practice Location Address
First Line : 175 RIVER VIEW DR STE A
Second Line :
City : GREEN RIVER
State : WY
Zip : 82935-4811
Country : US
Telephone Number : 307-875-7976
Fax Number : 307-875-8990
Authorized Official
Title or Position : CEO
Name : MR. DEE R BANGERTER
Credential :
Telephone Number : 801-397-4000
Provider Enumeration Date : 06/30/2005
Last Update Date : 06/10/2019

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