Healthcare Provider Details

I. General information

NPI: 1639119431
Provider Name (Legal Business Name): BARENABA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 02/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

887 S 50 E
OREM UT
84058-7029
US

IV. Provider business mailing address

887 S 50 E
OREM UT
84058-7029
US

V. Phone/Fax

Practice location:
  • Phone: 801-356-0322
  • Fax: 801-356-0322
Mailing address:
  • Phone: 801-356-0322
  • Fax: 801-356-0322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. RON MOSES BARENABA
Title or Position: EXECUTIVE MANAGER
Credential:
Phone: 801-356-0322