ALPINE SPINAL HEALTH (NPI# 1851706329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851706329 |
| Entity Type | Organization |
| Organization Name | ALPINE SPINAL HEALTH |
| Practice Address |
3325 N University Ave Ste 125 Provo UT 84604-6615 |
| Practice Telephone | 8013742774 |
| Practice Fax Number | 8012927188 |
| Mailing Telephone | 8013742774 |
| Mailing Fax Number | 8012927188 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |
| Authorized Official Name | JERRY S CLARK (OWNER/CHIROPRACTIC PHYSICIAN) |
| Authorized Official Telephone | 8013742774 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1668441202 | UT | Chiropractic Providers |
| Street Address |
3325 N UNIVERSITY AVE STE 125 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-6615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114082872 | Jerry S Clark | Chiropractor | 3325 N University Ave Ste 125, Provo, UT 84604-6615 | 2006-12-23 |
| 1902382310 | Complete Vitality | Chiropractor | 3325 N University Ave Ste 125, Provo, UT 84604-6615 | 2018-07-18 |
| 1972962173 | Charles Vanchiere | Chiropractor | 3325 N University Ave Ste 125, Provo, UT 84604-6615 | 2016-02-16 |
| 1578731949 | Alpine Spinal Rehabilitation Ctr | Chiropractor | 3325 N University Ave Ste 125, Provo, UT 84604-6615 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487145934 | Tyler Gagon | Chiropractor | 1564 N 1250 W, Provo, UT 84604-2357 | 2018-05-21 |
| 1790276251 | Steve A Baker Inc | Chiropractor | 2255 N University Pkwy Ste 20, Provo, UT 84604-7513 | 2018-05-21 |
| 1154857787 | Totalcare | Chiropractor | 1700 N State St Ste 16, Provo, UT 84604-1008 | 2017-05-02 |
| 1669872313 | Eric Henry Walker | Chiropractor | 2230 N University Pkwy Ste 6b, Provo, UT 84604-1584 | 2014-08-31 |
| 1073742888 | Balance Point Clinics, Inc. | Chiropractor | 696 N 1890 W, Suite 43-a, Provo, UT 84601-1327 | 2009-07-14 |
| 1417089681 | Cascade Spinal Rehab Center LLC | Chiropractor | 75 S 200 E, Ste 201, Provo, UT 84606-3146 | 2007-03-12 |
| 1114082872 | Jerry S Clark | Chiropractor | 3325 N University Ave Ste 125, Provo, UT 84604-6615 | 2006-12-23 |
| 1851480362 | Marc Vincent Bowers | Chiropractor | 777 N 500 W Ste 205, Provo, UT 84601-1596 | 2006-10-12 |
| 1700999786 | Michael Alsop | Chiropractor | 1045 S University Ave, Suite 6, Provo, UT 84601-5953 | 2006-08-16 |
| 1528029782 | William Peter Gagliardi | Chiropractor | 37 E Center St Ste 305, Provo, UT 84606-5564 | 2006-03-29 |
| Find all providers in PROVO | ||||
Please comment or provide details below to improve the information on ALPINE SPINAL HEALTH.
| 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.