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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 Agency2005-HHA-569UT

General Provider Information

NPI Number : 1710009915
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 : 84010-8194
Country : US
Telephone Number : 801-397-4800
Fax Number : 801-397-4890
Provider Business Practice Location Address
First Line : 523 HERITAGE PARK BLVD
Second Line :
City : LAYTON
State : UT
Zip : 84041-5711
Country : US
Telephone Number : 801-776-2200
Fax Number : 801-776-6624
Authorized Official
Title or Position : PRESIDENT
Name : DEE R BANGERTER
Credential :
Telephone Number : 801-397-4000
Provider Enumeration Date : 04/06/2007
Last Update Date : 04/04/2017

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