OrganizationActive
My Medivan LLC
NPI 1376291419 · Non-emergency Medical Transport (VAN) · Ogden, UT
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
Practice location
1190 E 5425 S Ste 103
Ogden, UT 84403-5193
Phone: (801) 734-7010
Approximate (ZIP-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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.