ELITE HEALTHCARE SOUTHERN UTAH LLC (NPI# 1275045080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275045080 |
| Entity Type | Organization |
| Organization Name | ELITE HEALTHCARE SOUTHERN UTAH LLC |
| Practice Address |
568 W Telegraph St Ste 4 Washington UT 84780-1206 |
| Practice Telephone | 4356270231 |
| Practice Fax Number | 4356270781 |
| Mailing Telephone | 4356270231 |
| Mailing Fax Number | 4356270781 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | DR. JEFFREY HICKEN (CLINIC DIRECTOR) |
| Authorized Official Telephone | 4356270231 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 10353222-1202 | UT | Chiropractic Providers |
| Street Address |
568 W TELEGRAPH ST STE 4 |
| City | WASHINGTON |
| State | UT |
| Zip Code | 84780-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839547 | Premere Rehab LLC | Occupational Therapist | 1525 E Ovation Pl, Washington, UT 84780 | 2020-10-19 |
| 1649885781 | Signature Hospice St.george, LLC | Hospice Care, Community Based | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
| 1457549958 | Nancy J Jenkins | Counselor | 3833 South Mitchell Dr, Washington, UT 84780 | 2007-10-09 |
| 1629274840 | Adam Paul Murie | Chiropractor | 2250 Coral Canyon Blvd. Ste. 202, Washington, UT 84780 | 2007-06-25 |
| 1083788350 | Robert Lawrence Gibson | Dentist | 2303 N Coral Canyon Blvd #202, Washington, UT 84780 | 2006-11-20 |
| 1407802879 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 915 W Red Cliffs Dr, Washington, UT 84780 | 2006-05-26 |
| 1578178547 | Signature Home Health St.george, LLC | In Home Supportive Care | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
| 1033373816 | Stacy Leigh Niemann | Speech-Language Pathologist | 1032 E 100 S, St George, UT 84780 | 2008-07-11 |
| 1689188799 | Misti Michelle Miller | Massage Therapist | 568 W Telegraph St, Washington, UT 84780-1205 | 2017-11-28 |
| 1558515619 | Kolene Faye Granger | Psychologist | 1415 N Old Course Rd, Washington, UT 84780-1339 | 2008-11-15 |
| Find all providers in zip 84780 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696683 | Kelly Ann Kimball | Chiropractor | 2450 Virginia Ave Nw Apt E619, Washington, DC 20037-2667 | 2020-10-14 |
| 1497353676 | Alexander Ruth | Chiropractor | 650 Pennsylvania Ave Se Ste 470, Washington, DC 20003-4412 | 2020-10-11 |
| 1629694526 | Razieh Shoorab | Chiropractor | 1712 I St Nw Ste 110, Washington, DC 20006-3702 | 2020-06-17 |
| 1093289373 | Finn Chiropractic Washington Pllc | Chiropractor | 382 W Chestnut St Ste 103, Washington, PA 15301-4642 | 2019-01-19 |
| 1902392384 | Daniel James Osborn | Chiropractor | 1444 I St Nw Ste Ll, Washington, DC 20005-2216 | 2018-07-09 |
| 1487141198 | Megan Rebecca Hullihen | Chiropractor | 4708 Wisconsin Ave Nw Ste 101, Washington, DC 20016-4644 | 2018-04-18 |
| 1528562428 | Lauren Grace Moss | Chiropractor | 1385 Washington Rd Ste 100, Washington, PA 15301-9674 | 2018-03-23 |
| 1629570619 | Metro Sports and Rehab, LLC | Chiropractor | 700 19th St Nw Rm O-711, Washington, DC 20431-0001 | 2018-03-06 |
| 1295233583 | Alpha Chiropractic, Pllc | Chiropractor | 610 W 15th St Ste 10, Washington, NC 27889-3527 | 2018-02-01 |
| 1649780032 | John Bailey Bland II | Chiropractor | 610 W. 15th. St., Washington, NC 27889 | 2017-10-11 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 84780 |
Please comment or provide details below to improve the information on ELITE HEALTHCARE SOUTHERN UTAH LLC.
| 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.