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KTM HEALTH CARE INC NPI 1528385994


NPI Information

NPI: 1528385994
Provider Name: KTM HEALTH CARE INC

Doing Business As: ENTERPRISE VALLEY CLOSED

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
660 E MAIN ST B700
BLDG A
ENTERPRISE, UT
ZIP 84725
Phone: (435) 878-2760
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KTM HEALTH CARE INC is a long term care pharmacy pharmacy in Enterprise, UT. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. KTM HEALTH CARE INC NPI is 1528385994. The provider is registered as an organization entity type.
The provider Is Doing Business As Enterprise Valley Closed.

The provider's business location address is:

660 E MAIN ST B700
BLDG A
ENTERPRISE, UT
ZIP 84725-700
Phone: (435) 878-2760
Fax: (435) 878-2765

The provider's authorized official is Adam Katschke .
The authorized official title is President and has the following contact phone number (801) 592-1056.

The enumeration date for this NPI number is 4/26/2010 and was last updated on 10/4/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336L0003XPharmacyLong Term Care Pharmacy76644571704UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14611807OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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