Provider Demographics
NPI:1699514364
Name:WARBIRD MEDICAL LLC
Entity type:Organization
Organization Name:WARBIRD MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENSON
Authorized Official - Middle Name:
Authorized Official - Last Name:BEUS
Authorized Official - Suffix:
Authorized Official - Credentials:VP
Authorized Official - Phone:801-645-1040
Mailing Address - Street 1:1428 WASHAKIE CIR
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-4369
Mailing Address - Country:US
Mailing Address - Phone:801-645-1040
Mailing Address - Fax:
Practice Address - Street 1:2641 WASHINGTON BLVD STE 100A
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84401-3626
Practice Address - Country:US
Practice Address - Phone:801-645-1040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome HealthGroup - Single Specialty