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BONFIRE REVENUE
NPI 1548032568
Clinic/Center in Murray, UT

Active since October 24, 2023
5547 S WALDEN GLEN DR, MURRAY, UT 84123(877) 647-2455 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bonfire Revenue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONFIRE REVENUE (NPI 1548032568) is a healthcare organization registered as a clinic/center in Murray, Utah and active in the NPI registry since October 2023. The organization lists Preston Boutsis, Cmo, as its authorized official.

NPPES Registry Identity

NPI1548032568
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBONFIRE REVENUE
Location Address5547 S WALDEN GLEN DRMurray, UT 84123-7942
Mailing Address8977 S 1300 W # 2046West Jordan, UT 84088-9274
Phone(877) 647-2455
Organization SubpartNo
Authorized OfficialPreston BoutsisCmo · (877) 647-2455
Enumeration DateOctober 24, 2023
NPPES CertifiedOctober 24, 2023
✔ NPI 1548032568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
5547 S WALDEN GLEN DR, Murray, UT 84123
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bonfire Revenue's NPI number?

The NPI number for Bonfire Revenue is 1548032568. It was assigned to this organization in the NPPES registry on October 24, 2023.

Where is Bonfire Revenue located?

Bonfire Revenue is located at 5547 S Walden Glen Dr, Murray, UT 84123. The listed phone number is (877) 647-2455.

What is Bonfire Revenue's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Bonfire Revenue was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.