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ST. GEORGE DETOX CENTER LLC NPI 1093189839


NPI Information

NPI: 1093189839
Provider Name: ST. GEORGE DETOX CENTER LLC

Former Legal Business Name: ST. GEORGE DETOX HOSPITAL

Classification: Special Hospital - 284300000X
Entity Type: Organization
Address:
120 W 1470 S BLDG B
ST GEORGE, UT
ZIP 84770
Phone: (435) 272-0220
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ST. GEORGE DETOX CENTER LLC is a special hospital in St George, UT. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. ST. GEORGE DETOX CENTER LLC NPI is 1093189839. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is St. George Detox Hospital.

The provider's business location address is:

120 W 1470 S BLDG B
ST GEORGE, UT
ZIP 84770-798
Phone: (435) 272-0220

The provider's authorized official is Arlen Barksdale .
The authorized official title is Owner and has the following contact phone number (760) 533-8714.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 11/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1284300000XSpecial Hospital2014-HOSP-UT000586UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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