Treehouse Pediatrics & Family Care Llc

LBN: Canyon Medical Group Llc
Treehouse Pediatrics & Family Care Llc is an health care organization with primary practice located at 1624 N 200 E Ste 160 , Logan UT 84341-3175. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Canyon Medical Group Llc can be contacted via phone (435) 750-5599, or through Wimmer, Wendy via phone (435) 750-5599.

Contact Information

Primary practice address
1624 N 200 E Ste 160 Logan UT 84341-3175
Phone: (435) 750-5599
Fax: (435) 750-0861
Website:
Map and Directions
Authorized official contact:
Name: Wimmer, Wendy
Phone: (435) 750-5599

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0708814 Utah

Profile Details

NPI number 1952599409
LBN Legal business name Canyon Medical Group Llc
DBA Doing business as Treehouse Pediatrics & Family Care Llc
Authorized official Wimmer, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2007
Last updated Jan 23rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952599409 NPPES
Utah MEDICAID 528291883001

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