MEDICARE: IVY MARIE YOST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1639950082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVY MARIE YOST

Provider Business Mailing Address
First Line	:	1097 GREENBAG RD
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26508-1532
Country	:	US
Telephone Number	:	304-291-3345
Fax Number	:

Provider Business Practice Location Address
First Line	:	663 CONGRESS AVE
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-2059
Country	:	US
Telephone Number	:	304-276-8108
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2023
Last Update Date	:	09/29/2025

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Directions to “ IVY MARIE YOST ” Practice Location

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