Living Tree Medical Group

LBN: Living Tree Medical Group
Living Tree Medical Group is an health care organization with primary practice located at 169 N Gateway Dr Ste 170 , Providence UT 84332-9855. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Health Service. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Living Tree Medical Group can be contacted via phone (435) 565-6043, or through Coleman, Kris via phone (435) 770-2131.

Contact Information

Primary practice address
169 N Gateway Dr Ste 170 Providence UT 84332-9855
Phone: (435) 565-6043
Fax: (435) 215-4420
Website:
Map and Directions
Authorized official contact:
Name: Coleman, Kris
Phone: (435) 770-2131

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1639754583
LBN Legal business name Living Tree Medical Group
DBA Doing business as
Authorized official Coleman, Kris
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2021
Last updated Dec 12th, 2023 - about 3 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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