Provider Demographics
NPI:1942027834
Name:CACHE HEALTH
Entity type:Organization
Organization Name:CACHE HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/APRN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:435-355-3718
Mailing Address - Street 1:PO BOX 245
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84323-0245
Mailing Address - Country:US
Mailing Address - Phone:435-990-4282
Mailing Address - Fax:435-355-3718
Practice Address - Street 1:682 S MAIN ST STE 150
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84321-6568
Practice Address - Country:US
Practice Address - Phone:435-990-4282
Practice Address - Fax:435-355-3718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty