Provider Demographics
NPI:1285312405
Name:BIOMEDICAL HEALTH PARTNERS LLC
Entity type:Organization
Organization Name:BIOMEDICAL HEALTH PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LARSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-809-3766
Mailing Address - Street 1:4166 SUMMER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84050-9344
Mailing Address - Country:US
Mailing Address - Phone:801-809-3766
Mailing Address - Fax:
Practice Address - Street 1:4166 SUMMER RIDGE RD
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:UT
Practice Address - Zip Code:84050-9344
Practice Address - Country:US
Practice Address - Phone:801-809-3766
Practice Address - Fax:801-516-0639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty