HOSPICE ALLIANCE OF SOUTHERN UTAH INC. NPI 1609982107

NPI Information

HOSPICE ALLIANCE OF SOUTHERN UTAH, INC. is a hospice care community based in St George, UT. HOSPICE ALLIANCE OF SOUTHERN UTAH, INC. NPI is 1609982107. The provider is registered as an organization entity type.

The provider's business location address is:

965 E 700 S
SUITE 201
ST GEORGE, UT
ZIP 84790-082
Phone: (435) 656-2889
Fax: (435) 656-2877

The provider's authorized official is Justin Larsen .
The authorized official title is Owner/ceo and has the following contact phone number (435) 753-0707.

The CLIA number assigned to this NPI record is 46D2174293 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 11/8/2010.

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:

Other Identifiers

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

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