Larry Green

Community Health Worker · Bountiful, UT

Individual Active NPI

NPI number 1639627243

Practice location

501 W 2600 S Ste 200
Bountiful, UT 84010-7785
Phone
(435) 835-4316
Fax
(435) 835-4317

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NPI record

NPI
1639627243
Entity type
Individual (Type 1)
Enumeration date
September 13, 2016
Last updated
September 13, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community Health Worker Primary 172V00000X — —

Mailing address

PO Box 154
Manti, UT 84642-0154
Phone
(435) 835-4316
Fax
(435) 835-4317

About Larry Green

Larry Green is a healthcare provider registered in the NPI registry with the primary taxonomy Community Health Worker (code 172V00000X). The practice location is 501 W 2600 S Ste 200, Bountiful, UT 84010-7785. The NPI number 1639627243 was assigned on September 13, 2016 and the record was last updated on September 13, 2016.

Frequently asked questions

What is the NPI number of Larry Green?

The NPI number is 1639627243.

What is the phone number of Larry Green?

The phone number listed for the practice location is (435) 835-4316.

Where is Larry Green located?

501 W 2600 S Ste 200, Bountiful, UT 84010-7785.

What is the taxonomy code for Larry Green?

The primary taxonomy code is 172V00000X – Community Health Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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