Organization
MY MEDIVAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAQUELYN HERNANDEZ NEMTAC (MANAGING DIRECTOR)
(385) 240-9372
Entity
Organization
Contact information
Practice address
1190 E 5425 S STE 103, OGDEN, UT 84403-5193
(801) 734-7010
Mailing address
1190 E 5425 S STE 103, OGDEN, UT 84403-5193
(801) 734-7010
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPP8569412
BALSINGER INSURANCE
UT
Enumeration date
03/17/2022
Last updated
03/17/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us