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Contact Information

IMPACT HEALTH & WELLNESS LLC
193 E FORT UNION BLVD STE 203
MIDVALE, UT84047-5543
 Phone: 801-568-1598
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for IMPACT HEALTH & WELLNESS LLC

NPI # 1073342358
LBN Legal business name IMPACT HEALTH & WELLNESS LLC
Authorized official MARK MONSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2024
Last updated 07/26/2024 - More than a year 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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