Ageless Men's Health Holdings, Inc
NPI 1376257386ActiveOrganization· Family Medicine· Marriott Slaterville, UT
Family Medicine in Marriott Slaterville, Utah, registered in NPPES in January 2023. The authorized official on file is Amanda Wilkinson, Business Operations Manager.
Overview
| NPI | 1376257386 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2023 |
| Last updated in NPPES | Nov 20, 2024 |
| Certified by provider | Nov 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Marriott Slaterville
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