CANADA CHIROPRACTIC A PROFESSIONAL CORPORATION (NPI# 1306181268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306181268 |
Entity Type | Organization |
Organization Name | CANADA CHIROPRACTIC A PROFESSIONAL CORPORATION |
Practice Address |
5801 S Fashion Blvd Suite 175 Murray UT 84107-6159 |
Practice Telephone | 3852023444 |
Mailing Telephone | 3852023444 |
Enumeration Date | 2012-12-04 |
Last Update Date | 2012-12-04 |
Authorized Official Name | DR. ANGELA D CANADA (OWNER) |
Authorized Official Telephone | 8019135178 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | 287808-1202 | UT | Managed Care Organizations |
Street Address |
5801 S FASHION BLVD SUITE 175 |
City | MURRAY |
State | UT |
Zip Code | 84107-6159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124282991 | Rachel A Bills | Speech-Language Pathologist | 5801 S Fashion Blvd, Suite 190, Murray, UT 84107-6159 | 2008-07-10 |
1386254837 | Le Ngu, Licensed Psychologist | Counselor | 5801 S Fashion Blvd, Murray, UT 84107-6159 | 2020-08-08 |
1245895002 | Laken Shirey | Counselor | 5801 S Fashion Blvd, Murray, UT 84107-6159 | 2019-05-07 |
1245773399 | Surgery Center Anesthesia, LLC | Anesthesiology | 5801 S Fashion Blvd, Suite 190, Murray, UT 84107-6159 | 2016-11-21 |
1447609987 | Granger Medical Clinic, PC | Internal Medicine | 5801 S Fashion Blvd, Suite 140, Murray, UT 84107 | 2016-06-06 |
1114386620 | Jacob Jackson | Chiropractor | 5801 S Fashion Blvd, Suite 210, Murray, UT 84107-6159 | 2016-02-12 |
1619347135 | Utah Spine Institute | Clinic/Center | 5801 S Fashion Blvd, Suite 180, Murray, UT 84107-6159 | 2015-09-26 |
1215312640 | Desiree S Hammer | Physician Assistant | 5801 S Fashion Blvd, Ste 180, Murray, UT 84107-6159 | 2015-07-27 |
1255680559 | Murray Surgical | Clinic/Center | 5801 S Fashion Blvd, #190, Murray, UT 84107-6159 | 2012-08-31 |
1942560479 | Joshua J Minori | Physical Medicine & Rehabilitation | 5801 S Fashion Blvd, Murray, UT 84107-6159 | 2012-05-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
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Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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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.