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NPI Code Detail

MEDICARE: BYRAM HEALTHCARE CENTERS, INC.

MEDICARE: BYRAM HEALTHCARE CENTERS, 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1912385717
Entity Type Code : Organization
Provider Name (Legal Business Name) : BYRAM HEALTHCARE CENTERS, INC.
Provider Business Mailing Address
First Line : 645 E 4500 S
Second Line : SUITE 120
City : SALT LAKE CITY
State : UT
Zip : 84107-3345
Country : US
Telephone Number : 714-895-6416
Fax Number : 714-890-3810
Provider Business Practice Location Address
First Line : 645 E 4500 S
Second Line : SUITE 120
City : SALT LAKE CITY
State : UT
Zip : 84107-3345
Country : US
Telephone Number : 714-895-6416
Fax Number : 714-890-3810
Authorized Official
Title or Position : CEO
Name : PERRY BERNOCCHI
Credential :
Telephone Number : 914-286-2053
Provider Enumeration Date : 05/12/2015
Last Update Date : 05/12/2015

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Directions to “BYRAM HEALTHCARE CENTERS, INC. ” Practice Location

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