Remedy Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

8131873-0160 Issued in UT

Legal business name

REMEDY MEDICAL, LLC

Practice address

2815 W 3825 S
West Haven, UT 84401-6700

Phone

(801) 941-9889

NPI assigned

Oct 28, 2011

Last updated

Oct 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gordon Robert Ridley

Title

Owner/Manager

Phone

(801) 941-9889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1821374208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 W 3825 S",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844016700",
            "telephone_number": "801-941-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 W 3825 S",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844016700",
            "telephone_number": "801-941-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEDY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "RIDLEY",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "801-941-9889"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "8131873-0160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in West Haven, UT
• Providers in West Haven, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.