Provider Demographics
NPI:1831599869
Name:ALPINE CENTER LLC
Entity type:Organization
Organization Name:ALPINE CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-263-0530
Mailing Address - Street 1:525 W 5300 S STE 150
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-5684
Mailing Address - Country:US
Mailing Address - Phone:801-263-0530
Mailing Address - Fax:801-281-5583
Practice Address - Street 1:525 W 5300 S STE 150
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-5684
Practice Address - Country:US
Practice Address - Phone:801-263-0530
Practice Address - Fax:801-281-5583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-27
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty