Desert Edge Medical

LBN: Desert Edge Medical
Desert Edge Medical is an health care organization with primary practice located at 1664 S Dixie Dr Ste D201 , St George UT 84770. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Desert Edge Medical can be contacted via phone (435) 656-2995, or through Borrowman, Ryan T via phone (435) 656-2995.

Contact Information

Primary practice address
1664 S Dixie Dr Ste D201 St George UT 84770
Phone: (435) 656-2995
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Borrowman, Ryan T DNP
Phone: (435) 656-2995

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X Utah

Profile Details

NPI number 1588162911
LBN Legal business name Desert Edge Medical
DBA Doing business as
Authorized official Borrowman, Ryan T DNP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2018
Last updated Mar 28th, 2019 - about 7 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 1588162911 NPPES
Utah MEDICAID 1487001442

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