Rivendell Clinic Llc

LBN: Rivendell Clinic Llc
Rivendell Clinic Llc is an health care organization with primary practice located at 1381 Alpine Loop , Provo UT 84606-5300. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Rivendell Clinic Llc can be contacted via phone (385) 446-5010, or through Ingerson, Sarah via phone (385) 985-8423.

Contact Information

Primary practice address
1381 Alpine Loop Provo UT 84606-5300
Phone: (385) 446-5010
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ingerson, Sarah DNP
Phone: (385) 985-8423

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1326745787
LBN Legal business name Rivendell Clinic Llc
DBA Doing business as
Authorized official Ingerson, Sarah DNP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2023
Last updated Feb 15th, 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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