SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC (NPI# 1508368465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508368465 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC |
| Other Organization Name | SOUTHWEST HEALING AND WELLNESS CENTER |
| Practice Address |
1085 S Bluff St Ste 200 Saint George UT 84770-5245 |
| Mailing Address |
652 S Medical Center Dr Ste 110 Saint George UT 84790-7077 |
| Practice Telephone | 4352187778 |
| Practice Fax Number | 4352750156 |
| Mailing Telephone | 4352150230 |
| Mailing Fax Number | 4352513735 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Authorized Official Name | ASHLEY PFATENHAUER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 4352150230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | UT | Agencies |
| Other Name | Type Code |
|---|---|
| Southwest Healing and Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700234499 | Southwest Spine and Pain Care Specialists LLC | Anesthesiology | 1303 N Main St, Cedar City, UT 84721-9746 | 2016-06-02 |
| 1134582570 | Southwest Spine and Pain Care Specialists LLC | Anesthesiology | 630 E 1400 N, Suite 135, Logan, UT 84341-2534 | 2016-04-02 |
| 1144509985 | Southwest Spine and Pain Care Specialists LLC | Internal Medicine | 652 S Medical Center Dr, Ste 110, Saint George, UT 84790-7017 | 2011-08-10 |
| Street Address |
1085 S BLUFF ST STE 200 |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84770-5245 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609338854 | Washington County Court Support Services | Community/Behavioral Health | 87 N 200 E Ste 302, Saint George, UT 84770-5375 | 2019-04-04 |
| 1467997932 | Autism Assessment and Therapy Center, LLC | Community/Behavioral Health | 378 E Nagano Dr, Saint George, UT 84790-4302 | 2016-12-20 |
| 1932571015 | Sage Circle Counseling Center | Community/Behavioral Health | 225 N Bluff St, Suite #5, Saint George, UT 84770-4566 | 2015-10-28 |
| 1659535243 | Ikae, Inc | Community/Behavioral Health | 640 E 700 S, Suite 207, Saint George, UT 84770-4023 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571306 | Alliance Counseling Utah | Community/Behavioral Health | 47 W 9000 S Ste 1, Sandy, UT 84070-2043 | 2020-08-31 |
| 1609489939 | The Arise Society | Community/Behavioral Health | 784 S River Ridge Ln, Spanish Fork, UT 84660-4712 | 2020-08-26 |
| 1639789464 | Enduring Connections Counseling Services LLC | Community/Behavioral Health | 4659 S Highland Dr, Salt Lake City, UT 84117-5137 | 2020-08-06 |
| 1841809324 | Mind and Matter Therapy | Community/Behavioral Health | 75 E Fort Union Blvd # 116, Midvale, UT 84047-1531 | 2020-07-30 |
| 1952927410 | Harmony Therapy Center LLC | Community/Behavioral Health | 752 E 1300 N, Pleasant Grove, UT 84062-1995 | 2020-06-22 |
| 1033733001 | Jessica Jo Pllc | Community/Behavioral Health | 3527 S 1200 E, Salt Lake City, UT 84106-2425 | 2020-06-04 |
| 1407479538 | Onwardlife | Community/Behavioral Health | 2998 E 9690 S, Sandy, UT 84092-3542 | 2020-05-23 |
| 1467071407 | Cancer Wellness House, Inc. | Community/Behavioral Health | 59 S 1100 E, Salt Lake City, UT 84102-1508 | 2020-04-09 |
| 1346875382 | Recovery Innovations Inc | Community/Behavioral Health | 2411 S 1070 W Ste A, West Valley City, UT 84119-1569 | 2020-03-10 |
| 1144854944 | Brenna M. Schaffer | Community/Behavioral Health | 950 E 600 S, Heber City, UT 84032-4469 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84770 |
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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.