KM Boyer LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KM BOYER LLC

Practice address

151 East Center Street
Spanish Fork, UT 84660-1802

Phone

(801) 798-6220

Fax

(801) 794-1824

NPI assigned

Jun 30, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kirk D. Boyer I

Title

President/Administrator

Phone

(801) 798-6220

Specialties & licenses 1

Addresses

Other names 1

• SPANISH FORK NURSING & REHAB Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1366449860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846600606",
            "telephone_number": "801-798-6220",
            "fax_number": "801-794-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 EAST CENTER STREET",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601802",
            "telephone_number": "801-798-6220",
            "fax_number": "801-794-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM BOYER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "801-798-6220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPANISH FORK NURSING & REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.