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NPI 1912638719

OrganizationActive

Alta Medical Supply LLC

NPI 1912638719 · Durable Medical Equipment & Medical Supplies · Bountiful, UT

Provider details

NPI number: 1912638719
Entity type: Organization
Primary specialty: Durable Medical Equipment & Medical SuppliesSuppliers
Authorized official: Brandon Jone, Owner

Practice location

280 S Main St

Bountiful, UT 84010-6236

Phone: (801) 505-0820

Fax: (801) 505-0802

More UT providers

Mailing address

280 S Main St

Bountiful, UT 84010-6236

Registry dates

Enumerated: 2022-06-22
Last updated: 2022-06-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alta Medical Supply LLC — NPI 1912638719, Bountiful, UT | NPI Central