OrganizationActive
My Medivan LLC
NPI 1376291419 · Non-emergency Medical Transport (VAN) · Ogden, UT
My Medivan LLC is a Non-emergency Medical Transport (VAN) organization in Ogden, UT (NPI 1376291419).
Provider details
- NPI number
- 1376291419
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Jaquelyn Hernandez, Managing Director(385) 240-9372
Specialties & taxonomies
Transportation Services
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1190 E 5425 S Ste 103
Ogden, UT 84403-5193
Phone: (801) 734-7010
Street-level locationGet directions
Mailing address
1190 E 5425 S Ste 103
Ogden, UT 84403-5193
Registry dates
- Enumerated
- 2022-03-17
- Last updated
- 2022-03-17
- Certified
- 2022-03-16
Frequently asked questions
- What is My Medivan LLC's NPI number?
- My Medivan LLC's National Provider Identifier (NPI) is 1376291419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Medivan LLC?
- My Medivan LLC is classified in the NPPES registry as Non-emergency Medical Transport (VAN) (Transportation Services).
- Where is My Medivan LLC located?
- My Medivan LLC's practice location on file with NPPES is 1190 E 5425 S Ste 103, Ogden, UT 84403-5193.
- What is My Medivan LLC's phone number?
- The practice phone number listed in the NPPES registry for My Medivan LLC is (801) 734-7010.
- Who is the authorized official for My Medivan LLC?
- The authorized official listed on My Medivan LLC's NPPES record is Jaquelyn Hernandez, Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Medivan LLC's NPI active?
- Yes — My Medivan LLC's NPI (1376291419) is active in the NPPES registry as of the last update on 2022-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.