Provider Demographics
NPI:1649681065
Name:MARGY BATSON LLC
Entity type:Organization
Organization Name:MARGY BATSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MIDWIFE
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:K
Authorized Official - Last Name:BATSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:801-355-2229
Mailing Address - Street 1:1283 E SOUTH TEMPLE
Mailing Address - Street 2:UNIT 202
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1716
Mailing Address - Country:US
Mailing Address - Phone:801-355-2229
Mailing Address - Fax:801-355-0617
Practice Address - Street 1:24 S 1100 E
Practice Address - Street 2:SUITE 209
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1500
Practice Address - Country:US
Practice Address - Phone:801-355-2229
Practice Address - Fax:801-355-0617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-20
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT205620-4402261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTR8356Medicaid
UT5548001Medicare PIN
UTR8356Medicaid