| Beehive Healthcare LLC | |
|
1133 N Main St Layton UT 84041-4800 | |
| (801) 513-5173 | |
| Not Available |
| Full Name | Beehive Healthcare LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1133 N Main St, Layton, Utah |
| Authorized Official Name and Position | Brittney Andersen (NURSE PRACTITIONER) |
| Authorized Official Contact | 4355120353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beehive Healthcare LLC 1133 N Main St Layton UT 84041-4800 Ph: (801) 513-5173 | Beehive Healthcare LLC 1133 N Main St Layton UT 84041-4800 Ph: (801) 513-5173 |
| NPI Number | 1841718566 |
|---|---|
| Provider Enumeration Date | 09/01/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7719245125 |
|---|---|
| Medicare Enrollment ID | O20171212002560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841718566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Tyler C Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144339904 PECOS PAC ID: 5890794697 Enrollment ID: I20061205000198 |
| Provider Name | Brittney Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174831408 PECOS PAC ID: 4688862360 Enrollment ID: I20130104000131 |
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