AMH SERIES II UT, LLC (NPI# 1639785710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639785710 |
Entity Type | Organization |
Organization Name | AMH SERIES II UT, LLC |
Practice Address |
1173 S 250 W Ste 503 St George UT 84770-7190 |
Practice Telephone | 9017573643 |
Mailing Telephone | 9017573643 |
Enumeration Date | 2020-09-23 |
Last Update Date | 2020-09-23 |
Authorized Official Name | MELISSA CHAMBERS (VP OF BUSINESS OPERATIONS) |
Authorized Official Telephone | 9017573643 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Ageless Men's Health | Doing Business As Name - Organization |
Street Address |
1173 S 250 W STE 503 |
City | ST GEORGE |
State | UT |
Zip Code | 84770-7190 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407007412 | Brennon Gary Jones | Physician Assistant | 1173 S 250 W Ste 503, St George, UT 84770-7190 | 2008-10-08 |
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 | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346789872 | Integrated Medical Services | Clinic/Center | 630 S 400 E, 101, St George, UT 84770-3765 | 2017-02-16 |
1265820351 | Outreach Medicine | Clinic/Center | 2719 Crimson Ridge Dr., St George, UT 84790 | 2014-12-26 |
1871798041 | Glen M. Sheppard | Clinic/Center | 1036 E Riverside Dr, St George, UT 84790-4477 | 2007-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
1942821947 | First Choice Healthcare, LLC | Clinic/Center | 250 N American Way, Brigham City, UT 84302-2074 | 2020-04-30 |
1912526294 | Boyer Medical Solutions | Clinic/Center | 2322 N 2080 W, Lehi, UT 84043-4897 | 2020-04-16 |
1164066015 | Sterling Provider Group | Clinic/Center | 700 S Highway 91, Richmond, UT 84333-1209 | 2019-11-04 |
1760033443 | Careatc | Clinic/Center | 669 W 200 S, Salt Lake City, UT 84101-1014 | 2019-09-24 |
1174006605 | Bristol Palliative Care Services, L.L.C. | Clinic/Center | 3216 S Highland Dr Ste 100, Salt Lake City, UT 84106-4196 | 2018-09-11 |
1649790080 | Jupiter Medical II LLC | Clinic/Center | 7724 S 5600 W Ste 102, West Jordan, UT 84081-5415 | 2017-06-27 |
1932640752 | Indiemed LLC | Clinic/Center | 25 N 2000 W Ste 3, Hurricane, UT 84737-4115 | 2017-03-13 |
1649719063 | Sara Arrington, A.p.r.n., P.l.l.c | Clinic/Center | 3110 W 300 N Ste A, West Point, UT 84015-7481 | 2017-02-17 |
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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.