Ivy Lane Pediatrics, Llc, NPI 1083635692
Home Health Agency in South Ogden, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1083635692
NPI Entity Type Organization
Provider Name Ivy Lane Pediatrics, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 5974 Fashion Point Dr Ste 230, South Ogden, UT, US
Provider Mailing Address 5974 Fashion Point Dr Ste 230, South Ogden, UT, US, 844034805
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MD Wyndam Reeve
Official Position ADMINISTRATOR
Phone 801-774-9698

Primary Taxonomy

Taxonomy Code

251E00000X

Taxonomy Name Home Health Agency
Classification

Home Health

Group

Agencies

Description A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Business Address

Ivy Lane Pediatrics, Llc
5974 Fashion Point Dr Ste 230

South Ogden, UT, US

Phone: 801-774-9698
Fax: 801-728-0641

Mailing Address

Ivy Lane Pediatrics, Llc
5974 Fashion Point Dr Ste 230
South Ogden, UT, US
ZIP 844034805
Phone: 801-774-9698
Fax: 801-728-0641

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