BROOKSTONE MEDICAL CENTER (NPI# 1366939068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366939068 |
Entity Type | Organization |
Organization Name | BROOKSTONE MEDICAL CENTER |
Other Organization Name | BROOKSTONE MEDICAL CENTER |
Practice Address |
198 N 100 E Saint George UT 84770-2831 |
Practice Telephone | 4356281111 |
Mailing Telephone | 4356281111 |
Enumeration Date | 2018-04-18 |
Last Update Date | 2018-04-18 |
Authorized Official Name | MRS. CHRISTINE TIPPETTS BROOKS (PROGRAM DIRECTOR) |
Authorized Official Telephone | 4356281111 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
8143132-3102 | UT | Nursing Service Providers |
Other Name | Type Code |
---|---|
BrookStone Medical Center | Doing Business As Name - Organization |
Street Address |
198 N 100 E |
City | SAINT GEORGE |
State | UT |
Zip Code | 84770-2831 |
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 | 163WA0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952877490 | Morgan Pritchett | Registered Nurse | 1184 S 2300 E, Spanish Fork, UT 84660-6412 | 2018-10-23 |
1790273704 | The Addiction Medicine Physicians Group, LLC | Registered Nurse | 9160 S 300 E. Ste 25, Sandy, UT 84070 | 2018-04-25 |
1780056655 | Linda Dimmick | Registered Nurse | 265 North State Street, Mount Pleasant, UT 84647 | 2015-10-30 |
1992071559 | Sumer Dawn Anderson | Registered Nurse | 9533 S 700 E, Ste 203, Sandy, UT 84070-3456 | 2012-03-28 |
1659572949 | Armando Wayne Slack | Registered Nurse | 190 S Main St, Centerville, UT 84014 | 2007-05-31 |
1265986608 | Kurt Despain | Registered Nurse | 344 E 100 S, Ste 301, Salt Lake City, UT 84111-1700 | 2016-08-14 |
1679934830 | Jed Atkinson | Registered Nurse | 151 S University Ave, Suite 3200, Provo, UT 84601-4427 | 2016-03-16 |
1760852479 | Jane Webster | Registered Nurse | 344 E 100 S, Ste 301, Salt Lake City, UT 84111-1700 | 2015-10-07 |
1235534140 | Alicia Milberger | Registered Nurse | 151 S University Ave, Provo, UT 84601-4427 | 2014-11-04 |
1427499151 | Karen Lee Burton | Registered Nurse | 344 E 100 S, Ste 301, Slc, UT 84111-1700 | 2013-07-10 |
Find all providers with the same taxonomy |
City | SAINT GEORGE |
Zip Code | 84770 |
Please comment or provide details below to improve the information on BROOKSTONE MEDICAL CENTER.
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.