NAHUEL IMAGE CENTER (NPI# 1205232923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205232923 |
| Entity Type | Organization |
| Organization Name | NAHUEL IMAGE CENTER |
| Other Organization Name | NIC |
| Practice Address |
1700 N State St Suite 16 Provo UT 84604-1011 |
| Practice Telephone | 8018225644 |
| Practice Fax Number | 8882589831 |
| Mailing Telephone | 8018225644 |
| Mailing Fax Number | 8882589831 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |
| Authorized Official Name | MR. MARIANO REGINATO (PRESIDENT) |
| Authorized Official Telephone | 9702506170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NIC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Nahuel Image Center, Inc | 2119 E Autumn Fileds Ln, Draper, UT 84020 |
| Street Address |
1700 N STATE ST SUITE 16 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1992212641 | Ideal Option, Pllc | Clinic/Center | 2230 N University Pkwy Ste 5, Provo, UT 84604-4743 | 2018-01-03 |
| 1245648468 | Richard W. Parkinson | Clinic/Center | 5314 N 250 W Ste 220, Provo, UT 84604-7746 | 2014-07-31 |
| 1912137084 | Dennis W. Remington M.d.,p.c. | Clinic/Center | 1675 N Freedom Blvd Ste 11e, Provo, UT 84604-6936 | 2009-07-22 |
| 1760677686 | Evan J Matheson | Clinic/Center | 745 N 500 W # 200, Provo, UT 84601-1472 | 2007-09-13 |
| 1417299827 | Northern Utah Center for Couples and Families, Pllc | Clinic/Center | 3507 N University Ave, Ste 350, Provo, UT 84604-4478 | 2013-03-23 |
| 1538452826 | Glasgow Chiropractic and Rehabilitation P.l.l.c | Clinic/Center | 2230 N University Pkwy, #6b, Provo, UT 84604-1509 | 2011-05-19 |
| 1578759114 | Hugo G. Altamirano Md LLC | Clinic/Center | 745 N 500 W # 200, Provo, UT 84601-1472 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226237 | Utah Wellness Solutions | Clinic/Center | 1664 W Towne Center Dr Ste D, South Jordan, UT 84095-8612 | 2020-08-19 |
| 1376166561 | Nuna Munay | Clinic/Center | 9525 S Tramway Dr, Sandy, UT 84092-3108 | 2020-05-21 |
| 1679193338 | Uintah Basin Medical Center | Clinic/Center | 50 S 200 E, Duchesne, UT 84021 | 2020-04-23 |
| 1225658800 | Provider Services Network, Inc. | Clinic/Center | 765 E 340 S Ste 206, American Fork, UT 84003-3310 | 2020-04-23 |
| 1578100186 | 124 South Fairfield LLC | Clinic/Center | 124 S Fairfield Rd Ste B, Layton, UT 84041-7106 | 2019-12-02 |
| 1710468384 | Skull Valley Health Clinic | Clinic/Center | 1929 Aaron Dr Ste I, Tooele, UT 84074-8112 | 2018-08-22 |
| 1275021784 | Axis Chiropractic and Massage Clinic, LLC | Clinic/Center | 1681 W 3860 S Ste 106, West Valley City, UT 84119-6274 | 2018-04-30 |
| 1760979397 | Moenkopi Counseling PC | Clinic/Center | 230 N 1680 E Ste H2, Saint George, UT 84790-2585 | 2018-04-19 |
| 1669978896 | Southern Utah Vision Care Pllc | Clinic/Center | 1251 Northfield Rd Ste 215, Cedar City, UT 84721-8623 | 2018-04-05 |
| 1558876961 | Corner Canyon Recovery, LLC | Clinic/Center | 1450 E Pioneer Rd, Draper, UT 84020 | 2017-12-07 |
| Find all providers with the same taxonomy | ||||
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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.