CORAL CANYON JOINT & SPINE HEALTH (NPI# 1104345636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104345636 |
| Entity Type | Organization |
| Organization Name | CORAL CANYON JOINT & SPINE HEALTH |
| Practice Address |
83 S 2600 W Ste 102 Hurricane UT 84737-3268 |
| Practice Telephone | (435) 635-7771 |
| Mailing Telephone | 4356357771 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | DR. JOSHUA ALAN CARR (MANAGING MEMBER) |
| Authorized Official Telephone | 4356357771 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | UT | Allopathic & Osteopathic Physicians |
| Street Address |
83 S 2600 W STE 102 |
| City | HURRICANE |
| State | UT |
| Zip Code | 84737-3268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609430198 | The Haven At Sky View | Assisted Living Facility | 2192 West 100 North, Hurricane, UT 84737 | 2019-04-30 |
| 1093227209 | Paul Jackman | Counselor | 2994 S Gould Wash Rd, Hurricane, UT 84737 | 2017-10-27 |
| 1760993380 | Rod Mayes | Marriage & Family Therapist | 2994 S Gould Wash Rd., Hurricane, UT 84737 | 2017-10-23 |
| 1922540707 | Tory Ann Gubler | Physical Therapy Assistant | 83 South 2600 West Suite 201, Hurricane, UT 84737 | 2016-11-10 |
| 1235570383 | Rodney Mark Arnold | Counselor | 433 S. Diamond Ranch Parkway, Hurricane, UT 84737 | 2013-07-17 |
| 1447480876 | Jeff Voorhees | Marriage & Family Therapist | 100 North 1015 West, Suite #1, Hurricane, UT 84737 | 2009-07-20 |
| 1477717734 | Zion Dental Care | Dentist | 82 South 700 West, Hurricane, UT 84737 | 2008-07-16 |
| 1073712758 | Hurricane Dialysis Center | Clinic/Center | 2500 West State Street, Hurricane, UT 84737 | 2007-07-13 |
| 1861529612 | Jeremy D Hatch | Dentist | 52 South 850 West, Suite 201, Hurricane, UT 84737 | 2007-02-28 |
| 1922167972 | Kimber Lee Dower | Occupational Therapist | 416 North State St, Hurricane, UT 84737 | 2006-12-06 |
| Find all providers in zip 84737 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 1790297661 | The Bridge Recovery Center | General Practice | 98 N 6680 W, Hurricane, UT 84737-6138 | 2017-10-31 |
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| 1154973576 | Koraima Morel Tirado | General Practice | 1035 W 190 S, Lehi, UT 84043-3833 | 2019-07-15 |
| 1841856986 | Northwestern Band of The Shoshone Nation Health & Human Services Dept. | General Practice | 241 W Forest St Ste A, Brigham City, UT 84302-2014 | 2019-05-14 |
| 1790295947 | Low T Clinic, LLC | General Practice | 2150 N Main St Ste 10, North Logan, UT 84341-1740 | 2017-10-02 |
| 1255795134 | Pain Management Professionals LLC | General Practice | 4541 S 700 E, Suite 100, Murray, UT 84107-4118 | 2016-04-07 |
| 1376912089 | East West Health Park City | General Practice | 1790 Sun Peak Dr Ste A102, Park City, UT 84098-6651 | 2015-09-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.