EDGE MEDICAL SERVICES
NPI 1033660485
Clinic/Center - Birthing in Provo, UT

Active since October 20, 2016

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 15, 2020, Aug 14, 2019, Jul 31, 2019 and 1 more (4 updates tracked since 2016).

  • Organization
  • Clinic/Center
  • Birthing

About EDGE MEDICAL SERVICES

This page provides the complete NPI Profile along with additional information for Edge Medical Services, a provider established in Provo, Utah operating as a Clinic/center, focusing in birthing . The healthcare provider is registered in the NPI registry with number 1033660485 assigned on October 2016. The practitioner's primary taxonomy code is 261QB0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Victoria Lee (Admin)

NPI
1033660485 Verify this NPI
Provider Name
EDGE MEDICAL SERVICES
Entity Type
Organization
Location Address
489 W 100 S PROVO, UT 84601
Location Phone
(800) 348-4623
Mailing Address
1141 N LOOP 1604 E # 105187 SAN ANTONIO, TX 78232
Mailing Phone
(800) 348-4623
Mailing Fax
(800) 391-4146
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-20-2016
Last Update Date
04-15-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Birthing

Taxonomy Code
261QB0400X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VICTORIA LEE

Authorized Official Title
ADMIN
Authorized Official Phone
(800) 348-4623

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Midwife
489 W 100 S
PROVO, UT 84601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033660485, enumerated as an "organization" on October 20, 2016.

The provider is located at 489 W 100 S PROVO, UT 84601 and the phone number is (800) 348-4623.

Clinic/Center with taxonomy code 261QB0400X and a focus in Birthing.