EASTERN UTAH WOMENS HEALTH LLC; NPI #1770070260

Contact Information

EASTERN UTAH WOMENS HEALTH LLC

77 S 600 E STE B
PRICE, UT 84501-3174

Phone: 435-637-0313
Fax: 435-637-0317
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	363LP2300X	50	Nurse Practitioner
Women's Health	363LW0102X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for EASTERN UTAH WOMENS HEALTH LLC

NPI Number 1770070260

LBN Legal business name EASTERN UTAH WOMENS HEALTH LLC

Authorized official DANIELLE PENDERGRASS - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/19/2018

Last updated 04/19/2018 - About 8 years ago

Identifiers

UT	License #	3196374405
UT	Medicaid	1225257819

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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EASTERN UTAH WOMENS HEALTH LLC

Contact Information

Specialty

Primary Care

Women's Health

NPI Profile & details for EASTERN UTAH WOMENS HEALTH LLC

Reviews for EASTERN UTAH WOMENS HEALTH LLC