Provider Type Icon

ALTAVISTA HEALTHCARE GROUP LLC NPI 1699258954


NPI Information

NPI: 1699258954
Provider Name: ALTAVISTA HEALTHCARE GROUP, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
154 E MYRTLE AVE STE 100
MURRAY, UT
ZIP 84107
Phone: (210) 249-4949
Get Directions

ALTAVISTA HEALTHCARE GROUP, LLC is a rehabilitation clinic center in Murray, UT. ALTAVISTA HEALTHCARE GROUP, LLC NPI is 1699258954. The provider is registered as an organization entity type.

The provider's business location address is:

154 E MYRTLE AVE STE 100
MURRAY, UT
ZIP 84107-850
Phone: (210) 249-4949

The provider's authorized official is Blanca Corrie .
The authorized official title is Ceo and has the following contact phone number (210) 249-4949.

The enumeration date for this NPI number is 9/12/2018 and was last updated on 9/12/2018.


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
1261QR0400XClinic/CenterRehabilitationYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.