Edenmd Wellness Llc

LBN: Edenmd Wellness Llc
Edenmd Wellness Llc is an health care organization with primary practice located at 7760 E State Route 69 Ste C5-342 , Prescott Valley AZ 86314-2201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Edenmd Wellness Llc can be contacted via phone (602) 525-8530, or through Forde, Ruth via phone (956) 607-4880.

Contact Information

Primary practice address
7760 E State Route 69 Ste C5-342 Prescott Valley AZ 86314-2201
Phone: (602) 525-8530
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Forde, Ruth Doctor of Medicine (MD)
Phone: (956) 607-4880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1801513114
LBN Legal business name Edenmd Wellness Llc
DBA Doing business as
Authorized official Forde, Ruth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2022
Last updated Nov 7th, 2022 - about 2 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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