ST GEORGE HEART AND VASCULAR NPI 1831815984

NPI Information

  • NPI: 1831815984
  • Provider Name: ST GEORGE HEART AND VASCULAR
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • CLIA Number: 46D2298291
  • Address: 1841 E RIVERSIDE DR STE 102
    ST GEORGE, UT
    ZIP 84790
  • Phone: (406) 690-2008

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NPI Details

ST GEORGE HEART AND VASCULAR is a vascular surgery surgery in St George, UT. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. ST GEORGE HEART AND VASCULAR NPI is 1831815984. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1841 E RIVERSIDE DR STE 102
ST GEORGE, UT
ZIP 84790-063
Phone: (406) 690-2008

The provider's authorized official is Charles Scott Needham .
The authorized official title is Owner and has the following contact phone number (406) 690-2008.

The CLIA number assigned to this NPI record is 46D2298291 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/19/2022 and was last updated on 3/6/2023.

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
12086S0129XSurgeryVascular SurgeryYes

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: 3/30/2025

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