Eastern Utah Womens Health Llc

LBN: Eastern Utah Womens Health Llc
Eastern Utah Womens Health Llc is an health care organization with primary practice located at 77 S 600 E Ste B , Price UT 84501-3174. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Eastern Utah Womens Health Llc can be contacted via phone (435) 637-0313, or through Pendergrass, Danielle via phone (435) 637-0313.

Contact Information

Primary practice address
77 S 600 E Ste B Price UT 84501-3174
Phone: (435) 637-0313
Fax: (435) 637-0317
Website:
Map and Directions
Authorized official contact:
Name: Pendergrass, Danielle DNP, APRN, WHNP-BC
Phone: (435) 637-0313

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 3196374405 Utah

Profile Details

NPI number 1770070260
LBN Legal business name Eastern Utah Womens Health Llc
DBA Doing business as
Authorized official Pendergrass, Danielle DNP, APRN, WHNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2018
Last updated Apr 19th, 2018 - about 6 years ago

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 1770070260 NPPES
Utah MEDICAID 1225257819

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