Riverwoods Interventional Radiology Inc

LBN: Riverwoods Interventional Radiology Inc
Riverwoods Interventional Radiology Inc is an health care organization with primary practice located at 3152 N University Ave Suite 150, Provo UT 84604-4729. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Riverwoods Interventional Radiology Inc can be contacted via phone (801) 437-4895, or through Gibby, Wendell A via phone (801) 437-4895.

Contact Information

Primary practice address
3152 N University Ave Suite 150 Provo UT 84604-4729
Phone: (801) 437-4895
Fax: (801) 229-1003
Website:
Map and Directions
Authorized official contact:
Name: Gibby, Wendell A Doctor of Medicine (MD)
Phone: (801) 437-4895

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 5414031-1704 Utah

Profile Details

NPI number 1477646479
LBN Legal business name Riverwoods Interventional Radiology Inc
DBA Doing business as
Authorized official Gibby, Wendell A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 27th, 2011 - about 14 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 1477646479 NPPES
Utah MEDICAID 528906826089

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