WESTERN NEUROLOGICAL GROUP


Address: 10169 S 1160 W, South Jordan, UT 84095-8829
Phone: 8015579962

WESTERN NEUROLOGICAL GROUP (NPI# 1386026052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386026052
Entity Type Organization
Organization Name WESTERN NEUROLOGICAL GROUP
Practice Address 10169 S 1160 W
South Jordan
UT 84095-8829
Mailing Address 10169 S. 1160 W.
South Jordan
UT 84095
Practice Telephone 8015579962
Mailing Telephone 8015579962
Enumeration Date 2015-06-18
Last Update Date 2015-06-18
Authorized Official Name VALERIE BEHRLE (MANAGER)
Authorized Official Telephone 8015579962
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 10169 S 1160 W
City SOUTH JORDAN
State UT
Zip Code 84095-8829

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1306393889 Tal Quirl Optometrist 3571 W. 10400 S., South Jordan, UT 84095 2016-09-01
1023562667 Sevon Taroian Social Worker 11260 River Heights Drive, South Jordan, UT 84095 2016-08-11
1952762932 Megan Buckley Developmental Therapist 881 Baxter Drive, Ste 100, South Jordan, UT 84095 2016-03-17
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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Competitor

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City SOUTH JORDAN
Zip Code 84095

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Dataset Information

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.

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