NPI 1376291419
My Medivan LLC
Practice location
- Address
- 1190 E 5425 S STE 103, Ogden, UT 84403-5193
- Phone
- (801) 734-7010
Authorised official
- Name
- Jaquelyn Hernandez
- Title
- Managing Director
- Phone
- (385) 240-9372
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1376291419
- Entity type
- Organization
- NPI issued
- 17 Mar 2022
- Record last updated
- 17 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.