# ASCEND2LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972050532
- **Authorized official:** MR. RON G MORTENSEN M.S. QMRP (DIRECTOR)
- **Authorized official phone:** (435) 660-9446

## Contact information

- **Practice address:** 1367 N 550 E, NEPHI, UT 84648-2213
- **Practice address phone:** (435) 660-9446
- **Mailing address:** 1367 N 550 E, NEPHI, UT 84648-2213
- **Mailing address phone:** (435) 660-9446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 6354409-0160 | UT | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 09/01/2016