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Contact Information

MATERNAL FETAL SERVICES OF UTAH LLC
3100 CHANNING WAY
IDAHO FALLS, ID83404-7533
 Phone: 208-529-6111
 Fax: 208-529-7021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MATERNAL FETAL SERVICES OF UTAH LLC

NPI # 1467675082
LBN Legal business name MATERNAL FETAL SERVICES OF UTAH LLC
Authorized official JEFF RYDBURG - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2007
Last updated 11/05/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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