ADVANTAGE SPINE CARE CENTER LLC NPI 1528368610

NPI Information

NPI: 1528368610
Provider Name: ADVANTAGE SPINE CARE CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
619 S BLUFF ST
SUITE 401
ST GEORGE, UT
ZIP 84770
Phone: (435) 656-0234
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ADVANTAGE SPINE CARE CENTER LLC is an ambulatory surgical clinic center in St George, UT. ADVANTAGE SPINE CARE CENTER LLC NPI is 1528368610. The provider is registered as an organization entity type.

The provider's business location address is:

619 S BLUFF ST
SUITE 401
ST GEORGE, UT
ZIP 84770-853
Phone: (435) 656-0234
Fax: (435) 656-2622

The provider's authorized official is Roger Russell .
The authorized official title is Administrator and has the following contact phone number (435) 656-0234.

The enumeration date for this NPI number is 10/24/2010 and was last updated on 10/24/2010.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 11/14/2023

NPI Synchronization or Removal

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