OrganizationActive
Northern Utah Endoscopy Center
NPI 1902875669 · Ambulatory Surgical Clinic/Center · Logan, UT
Provider details
- NPI number
- 1902875669
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Duane Bohman, Member(435) 787-0270
- License
- 2006-ASF-16794 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
630 E 1400 N
Suite 100a
Logan, UT 84341-2534
Phone: (435) 787-0270
Fax: (435) 787-0262
Street-level locationGet directions
Mailing address
630 E 1400 N
Logan, UT 84341-2534
Other names (DBA / former)
- Other name
- Northern Utah Endoscopy Center, LLC
Registry dates
- Enumerated
- 2006-03-15
- Last updated
- 2011-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.