SUMMIT ST GEORGE, LLC (NPI# 1194380113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194380113 |
| Entity Type | Organization |
| Organization Name | SUMMIT ST GEORGE, LLC |
| Practice Address |
1675 W Red Cloud Dr Saint George UT 84770-7378 |
| Mailing Address |
2463 W Silverpoint Way Riverton UT 84065-3030 |
| Mailing Telephone | 8015564180 |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | MR. DAVID BRITSCH (ADMINISTRATOR) |
| Authorized Official Telephone | 8015564180 |
| Authorized Official Credential | MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Summit Hospice St. George | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1675 W Red Cloud Dr, St George, UT 847707378 | 8015564180 | |
| 1675 W Red Cloud Dr, St George, UT 847707378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689239873 | Summit St George, LLC | Hospice Care, Community Based | 1675 W Red Cloud Dr, St George, UT 84770-7378 | 2019-05-03 |
| Street Address |
1675 W RED CLOUD DR |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84770-7378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
| 1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
| 1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
| 1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
| 1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
| 1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
| 1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
| 1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
| Find all providers in zip 84770 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306141361 | Dixie Hospice Care, LLC | Hospice Care, Community Based | 352 E Riverside Dr Ste B3b, Saint George, UT 84790-5808 | 2011-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885781 | Signature Hospice St.george, LLC | Hospice Care, Community Based | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
| 1922618636 | Affinity Care | Hospice Care, Community Based | 437 S Bluff St Ste 301, St George, UT 84770-3591 | 2020-08-06 |
| 1295350460 | Bear River Healthcare LLC | Hospice Care, Community Based | 1153 N Main St Ste B100110, Logan, UT 84341-2495 | 2020-06-12 |
| 1114566429 | Suncrest Hospice Austin LLC | Hospice Care, Community Based | 1275 E Fort Union Blvd Ste 120, Cottonwood Heights, UT 84047-1846 | 2020-01-03 |
| 1912540683 | Lumicare Health Ut1 LLC | Hospice Care, Community Based | 2242 E Suada Dr, Holladay, UT 84124-1852 | 2019-10-24 |
| 1295380376 | Sierra Hospice Slc, LLC | Hospice Care, Community Based | 5411 S Vine St Unit 5a, Murray, UT 84107-7756 | 2019-08-06 |
| 1689239873 | Summit St George, LLC | Hospice Care, Community Based | 1675 W Red Cloud Dr, St George, UT 84770-7378 | 2019-05-03 |
| 1275091498 | Sierra Hospice, LLC | Hospice Care, Community Based | 1173 S 250 W Ste 507a, St George, UT 84770-6392 | 2019-03-06 |
| 1023572971 | Suncrest Hospice Utah LLC | Hospice Care, Community Based | 1275 E Fort Union Blvd Ste 210, Midvale, UT 84047-1885 | 2019-01-24 |
| 1053882506 | Aim Health Management | Hospice Care, Community Based | 3818 W 5400 S, Taylorsville, UT 84129-3561 | 2018-12-10 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84770 |
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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.