Beecon of Light
Organization Active NPI Clinic/Center · Brigham City, UT
NPI 1689337396 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1689337396
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- BEECON OF LIGHT
- Practice address
- 60 S Main St # B002
Brigham City, UT 84302-6719 - Phone
- (435) 239-8768
- NPI assigned
- Oct 19, 2021
- Organization subpart
- No
Authorized official
- Name
- Anthony Pool
- Title
- Owner
- Phone
- (435) 239-8768
National Provider Directory
Locations
60 S Main St
#B2
Brigham City, UT 84302
Phone (435) 239-8768
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
60 S Main St # B002
Brigham City, UT 84302-6719
Mailing address
60 S Main St # B002
Brigham City, UT 84302-6719
Other providers in Brigham City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.