| Rubicon Health And Wellness Llc | |
|
1536 Woodland Park Dr Ste 210 Layton UT 84041-5620 | |
| (385) 393-7486 | |
| Not Available |
| Full Name | Rubicon Health And Wellness Llc |
|---|---|
| Speciality | General Practice |
| Location | 1536 Woodland Park Dr Ste 210, Layton, Utah |
| Authorized Official Name and Position | Ian Hess (MANAGER) |
| Authorized Official Contact | 3853937486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rubicon Health And Wellness Llc 1536 Woodland Park Dr Ste 210 Layton UT 84041-5620 Ph: (385) 393-7486 | Rubicon Health And Wellness Llc 1536 Woodland Park Dr Ste 210 Layton UT 84041-5620 Ph: (385) 393-7486 |
| NPI Number | 1144052218 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 10/04/2024 |
| Medicare PECOS PAC ID | 8921531856 |
|---|---|
| Medicare Enrollment ID | O20241030001524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144052218 | NPI | - | NPPES |
| 5642777-4405 | Other | UT | APRN, FNP LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Machel Knowles |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780608828 PECOS PAC ID: 3577743608 Enrollment ID: I20110208000017 |
| Provider Name | Jessica Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982836441 PECOS PAC ID: 8224354832 Enrollment ID: I20150225002086 |
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