NPIMap

Organization Active NPI

Remack LLC

  • Primary Care Clinic/Center
  • Logan, UT
National Provider Identifier
1477926806
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
309737-4405 Issued in UT
Legal business name
REMACK LLC
Practice address
2380 N 400 E
Ste C
Logan, UT 84341-6000
Phone
(435) 753-7337
NPI assigned
Nov 6, 2015
Last updated
Mar 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Authorized official

Name
Paul Steven Barnard
Title
Ceo
Phone
(435) 938-8508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 309737-4405 UT Primary

Addresses

Primary practice location

2380 N 400 E
Ste C
Logan, UT 84341-6000

Mailing address

7198 W Highway 30
Mendon, UT 84325-9713
Phone (435) 760-7003

National Provider Directory

National Provider Directory

Locations

2380 N 400 E
Ste C
North Logan, UT 84341
Phone (435) 753-1600

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1477926806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7198 W HIGHWAY 30",
            "city": "MENDON",
            "state": "UT",
            "postal_code": "843259713",
            "telephone_number": "435-760-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 N 400 E",
            "address_2": "STE C",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843416000",
            "telephone_number": "435-753-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "BARNARD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-938-8508"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "309737-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.