Provider Demographics
NPI:1740880012
Name:CASTLE ARCH, LLC
Entity type:Organization
Organization Name:CASTLE ARCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-703-3990
Mailing Address - Street 1:596 W 750 S # 310C
Mailing Address - Street 2:
Mailing Address - City:BOUNTIFUL
Mailing Address - State:UT
Mailing Address - Zip Code:84010-7268
Mailing Address - Country:US
Mailing Address - Phone:801-703-3990
Mailing Address - Fax:
Practice Address - Street 1:596 W 750 S # 310C
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-7268
Practice Address - Country:US
Practice Address - Phone:801-797-5614
Practice Address - Fax:385-449-4117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies