NORTHERN UTAH ENDOSCOPY CENTER, LLC
NPI 1902875669
Clinic/Center - Ambulatory Surgical in Logan, UT

Active since March 15, 2006
630 E 1400 N, SUITE 100A, LOGAN, UT 84341(435) 787-0270(435) 787-0262 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northern Utah Endoscopy Center, Llc NPPES

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

NORTHERN UTAH ENDOSCOPY CENTER, LLC (NPI 1902875669) is a healthcare organization registered as an ambulatory surgical in Logan, Utah and active in the NPI registry since March 2006. The organization lists Duane Bohman, Member, as its authorized official.

NPPES Registry Identity

NPI1902875669
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHERN UTAH ENDOSCOPY CENTER
Location Address630 E 1400 N, SUITE 100ALogan, UT 84341-2534
Mailing Address630 E 1400 N, Suite 100aLogan, UT 84341-2534 · (435) 787-0270 · Fax (435) 787-0262
Fax(435) 787-0262
Organization SubpartNo
Authorized OfficialDuane BohmanMember · (435) 787-0270
Enumeration DateMarch 15, 2006
Last NPPES UpdateApril 28, 2011
NPI 1902875669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in UT · 2006-ASF-16794
630 E 1400 N, Logan, UT 84341

Other Names 1

Other NameNorthern Utah Endoscopy Center, Llc

Other Identifiers 5

Other490004876UT · Railroad Medicare
Other2006-ASF-16794UT · State License
Medicaid806091700ID
Medicaid116023100WY
Medicare PIN000001067UT

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
630 E 1400 N, SUITE 100B
LOGAN, UT 84341
Internal Medicine (Gastroenterology)
630 E 1400 N
LOGAN, UT 84341
Anesthesiology (Pain Medicine)
630 E 1400 N, SUITE 135
LOGAN, UT 84341
Internal Medicine (Gastroenterology)
630 E 1400 N, SUITE 100B
LOGAN, UT 84341
Nurse Practitioner
630 E 1400 N
LOGAN, UT 84341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902875669, enumerated as an "organization" on March 15, 2006.

The provider is located at 630 E 1400 N SUITE 100A LOGAN, UT 84341 and the phone number is (435) 787-0270.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.