CASTLEVIEW HOSPITAL, LLC (NPI# 1639253321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639253321 |
| Entity Type | Organization |
| Organization Name | CASTLEVIEW HOSPITAL, LLC |
| Other Organization Name | CASTLEVIEW HOSPITAL |
| Practice Address |
300 N Hospital Dr Price UT 84501-4218 |
| Practice Telephone | 4356364836 |
| Practice Fax Number | 4356378819 |
| Mailing Telephone | 4356364836 |
| Mailing Fax Number | 4356378819 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | KATHY J. TEAGUE (SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | UT | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 497607255045 | 05 | |
| UT | EKG GROUP | 110179278 | 01 |
| UT | BCBS EKG | 15042835401001 | 01 |
| UT | BCBS EKG | 43137085101001 | 01 |
| UT | RAILROAD MEDICARE | CI5032 | 01 |
| UT | PEHP EKG | 62579 | 01 |
| UT | EKG GROUP | 080168890 | 01 |
| UT | PEHP EKG | 47980 | 01 |
| UT | BCBS EKG | 52951335609001 | 01 |
| UT | EKG GROUP | 110179277 | 01 |
| UT | PEHP EKG | 57268 | 01 |
| Other Name | Type Code |
|---|---|
| Castleview Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386888519 | Castleview Hospital, LLC | Obstetrics & Gynecology | 300 N Hospital Dr, Price, UT 84501-4218 | 2009-05-01 |
| 1285771220 | Castleview Hospital, LLC | Clinic/Center | 90 West Main Street, Castle Dale, UT 84513-0607 | 2007-01-31 |
| 1710061411 | Castleview Hospital, LLC | General Acute Care Hospital | 300 N Hospital Dr, Price, UT 84501-4218 | 2006-10-25 |
| Street Address |
300 N HOSPITAL DR |
| City | PRICE |
| State | UT |
| Zip Code | 84501-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952398463 | Cameron Seymour Williams | Emergency Medicine | 300 N Hospital Dr, Price, UT 84501-4218 | 2005-09-29 |
| 1790303295 | Mckenzie Sue Willson | Occupational Therapy Assistant | 300 N Hospital Dr, Price, UT 84501-4218 | 2020-07-10 |
| 1851915052 | Royall Em LLC | Clinic/Center | 300 N Hospital Dr, Price, UT 84501-4218 | 2020-06-03 |
| 1770126690 | Joann Stout | Registered Nurse | 300 N Hospital Dr, Price, UT 84501-4218 | 2019-10-23 |
| 1639710569 | Audrey Bergeson Md Pllc | Emergency Medicine | 300 N Hospital Dr, Price, UT 84501-4218 | 2019-10-02 |
| 1386297927 | Bruno, LLC | Emergency Medicine | 300 N Hospital Dr, Price, UT 84501-4218 | 2019-07-23 |
| 1982165767 | Tx-carbon Emergency Services LLC | Emergency Medicine | 300 N Hospital Dr, Price, UT 84501-4218 | 2019-03-26 |
| 1407331127 | Southeastern Utah Emergency Physicians | Emergency Medicine | 300 N Hospital Dr, Price, UT 84501-4218 | 2018-09-27 |
| 1912489790 | Sara Tarjan, LLC | Emergency Medicine | 300 N Hospital Dr, Price, UT 84501-4218 | 2018-08-29 |
| 1275019218 | Shelly Lynn Elliott | Speech-Language Pathologist | 300 N Hospital Dr, Price, UT 84501-4218 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| 1174160071 | Kelli Fowles | Pharmacist | Smith's Food & Drug, 1075 E Main St, Price, UT 84501 | 2019-12-10 |
| 1225683733 | Zachary Kreek | Registered Nurse | 77 South 600 East Suite C, Price, UT 84501 | 2019-08-02 |
| 1578036547 | Boni Lee Taylor | Counselor | 445 North Carbonville Road, Price, UT 84501 | 2019-01-02 |
| 1023591310 | Center for Independent Living, Inc | Durable Medical Equipment & Medical Supplies | 2490 Mariner Square Loop, Suite 210, Alameda, CA 84501 | 2018-09-12 |
| 1023500360 | Dkmcomber Clinical Services | Nurse Practitioner | 590 E 100 N Ste 7, Price, UT 84501 | 2018-06-02 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1255783874 | Cacilia Jensen | Case Manager/Care Coordinator | 105 W. 100 N., Price, UT 84501 | 2016-07-07 |
| 1801133905 | Joseph Micah Woodard | Counselor | 575 E. 100 S., Price, UT 84501 | 2013-01-09 |
| 1447513221 | Eugene Douglas Larsen Jr. | Internal Medicine | 280 N Hospital Dr Ste 4, Price, UT 84501 | 2012-06-18 |
| Find all providers in zip 84501 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982815064 | Shane D Gagon Md, PC | Family Medicine | 377 No. Fairgrounds Rd., Price, UT 84501-4211 | 2007-05-24 |
| 1508951328 | Shane D Gagon | Family Medicine | 377 N Fairgrounds Rd, Price, UT 84501-4208 | 2006-10-04 |
| 1881008811 | Castleview Physician Practices LLC | Family Medicine | 945 W Hospital Dr, Suite 7, Price, UT 84501-4214 | 2014-06-18 |
| 1366854952 | Castleview Physician Practices LLC | Family Medicine | 945 W Hospital Dr, Suite 8, Price, UT 84501-4214 | 2014-05-30 |
| 1528310844 | Nicholas G Hanson Md PC | Family Medicine | 230 N Hospital Dr, Ste 4, Price, UT 84501-4221 | 2012-10-10 |
| 1710149794 | Nicholas Gary Hanson | Family Medicine | 230 N Hospital Dr, Suite 4, Price, UT 84501-4221 | 2008-06-30 |
| 1942314547 | Sterling Glade Potter | Family Medicine | 945 W Hospital Dr, Suite # 2, Price, UT 84501-4214 | 2006-08-19 |
| 1083727408 | Glenn T. Etzel | Family Medicine | 230 N Hospital Dr, Suite 5, Price, UT 84501-4221 | 2006-08-17 |
| 1326066572 | Mark A Frazier | Family Medicine | 300 N Hospital Dr, Price, UT 84501-4218 | 2006-07-17 |
| 1245263177 | Matthew Frank Brady | Family Medicine | 280 N Hospital Dr, Suite #4, Price, UT 84501-4216 | 2006-07-07 |
| Find all providers in PRICE | ||||
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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.