ALTAVISTA HEALTHCARE GROUP, LLC (NPI# 1699258954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699258954 |
| Entity Type | Organization |
| Organization Name | ALTAVISTA HEALTHCARE GROUP, LLC |
| Practice Address |
154 E Myrtle Ave Ste 100 Murray UT 84107-4850 |
| Mailing Address |
14439 Nw Military Hwy Ste 449 Shavano Park TX 78231-1646 |
| Practice Telephone | 2102494949 |
| Mailing Telephone | 2102494949 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Authorized Official Name | BLANCA CORRIE (CEO) |
| Authorized Official Telephone | 2102494949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Street Address |
154 E MYRTLE AVE STE 100 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-4850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881647527 | H2 Rehabilitation Services of Kentucky, LLC | Clinic/Center | 208 S 6th St, Murray, KY 42071-2516 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975698 | Daniel John Halligan | Clinic/Center | 832 N Dorothea Way, Salt Lake City, UT 84116-1539 | 2020-09-05 |
| 1649704032 | Layton Chiropractic & Accident Rehabilitation | Clinic/Center | 872 Heritage Park Blvd, Suite 130, Layton, UT 84041-5714 | 2017-04-12 |
| 1811351844 | Silver Lake Healthcare, Inc. | Clinic/Center | 1385 W 2200 S Ste 201, Salt Lake City, UT 84119-7208 | 2016-04-06 |
| 1316387699 | Pomarri LLC | Clinic/Center | 1472 E 820 N, Orem, UT 84097-5481 | 2013-07-01 |
| 1326353806 | Rehab Services Inc | Clinic/Center | 340 N 900 E, Nephi, UT 84648-1658 | 2010-08-09 |
| 1306176748 | Integral Rehabilitation, LLC | Clinic/Center | 6771 S 900 E, Midvale, UT 84047-1436 | 2010-01-07 |
| 1851563084 | Deseret Therapy, Inc | Clinic/Center | 500 N Market Place Dr, Ste 203, Centerville, UT 84014-1708 | 2008-03-27 |
| 1174540058 | Ihc Health Services, Inc. | Clinic/Center | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2006-07-16 |
| 1790238145 | University of Utah Life Skills Clinic | Clinic/Center | 540 S Arapeen Dr Ste 200, Salt Lake City, UT 84108-1216 | 2016-08-02 |
| 1073972006 | Spinal Health & Rehab | Clinic/Center | 1154 S 300 W, Suite C, Salt Lake City, UT 84101-3053 | 2016-02-18 |
| Find all providers with the same taxonomy | ||||
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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.