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TREEHOUSE ACORN PEDIATRICS & FAMILY CARE NPI 1619553864


NPI Information

NPI: 1619553864
Provider Name: TREEHOUSE ACORN PEDIATRICS & FAMILY CARE

Doing Business As: TREEHOUSE PEDIATRICS & FAMILY CARE

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 46D0969712

Address:
1325 N 600 E STE 101
LOGAN, UT
ZIP 84341
Phone: (435) 213-3970
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TREEHOUSE ACORN PEDIATRICS & FAMILY CARE is a pediatrics in Logan, UT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. TREEHOUSE ACORN PEDIATRICS & FAMILY CARE NPI is 1619553864. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Treehouse Pediatrics & Family Care.

The provider's business location address is:

1325 N 600 E STE 101
LOGAN, UT
ZIP 84341-743
Phone: (435) 213-3970
Fax: (435) 355-3746

The provider's authorized official is Miranda Overy Bryan .
The authorized official title is Practice Manager and has the following contact phone number (435) 799-9101.

The CLIA number assigned to this NPI record is 46D0969712 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2021 and was last updated on 11/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1528112320001MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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