THERAPEUTIC WELLNESS CENTER NPI 1174858823

NPI Information

NPI: 1174858823
Provider Name: THERAPEUTIC WELLNESS CENTER

Former Legal Business Name: PARAGON HEALTHCARE OF UTAH, LLC

Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
5974 FASHION POINT DR
SUITE 100
SOUTH OGDEN, UT
ZIP 84403
Phone: (801) 479-9644
Get Directions

THERAPEUTIC WELLNESS CENTER is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in South Ogden, UT. THERAPEUTIC WELLNESS CENTER NPI is 1174858823. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Paragon Healthcare Of Utah, Llc.

The provider's business location address is:

5974 FASHION POINT DR
SUITE 100
SOUTH OGDEN, UT
ZIP 84403-699
Phone: (801) 479-9644
Fax: (801) 479-9639

The provider's authorized official is Dawn Fielding .
The authorized official title is Executive Director and has the following contact phone number (801) 479-9644.

The enumeration date for this NPI number is 10/14/2009 and was last updated on 5/31/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	7487072-0161	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U000072054	OTHER	UTAH	MEDICARE PTAN

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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