NEURAL EFFECTS


Address: 1055 N 300 W Ste 410, Provo, UT 84604-3354
Phone: 8016163675

NEURAL EFFECTS (NPI# 1194330118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194330118
Entity Type Organization
Organization Name NEURAL EFFECTS
Practice Address 1055 N 300 W Ste 410
Provo
UT 84604-3354
Practice Telephone 8016163675
Practice Fax Number 3852259313
Mailing Telephone 8016163675
Mailing Fax Number 3852259313
Enumeration Date 2020-09-15
Last Update Date 2020-09-15
Authorized Official Name MR. JEFFERSON B GAUFIN (CEO)
Authorized Official Telephone 8016163675
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 1055 N 300 W STE 410
City PROVO
State UT
Zip Code 84604-3354

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144455833 Jody Quick Wixom Physical Medicine & Rehabilitation 1055 N 300 W Ste 410, Provo, UT 84604-3354 2009-05-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346882107 Abigail Belle Hardy Student in an Organized Health Care Education/Training Program 1190 900 E, Provo, UT 84604 2019-10-14
1386106698 Sarah Roseman Hunt Nurse Practitioner 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 2019-04-04
1255813325 Hwigeum Jeong Specialist/Technologist Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 2018-09-05
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1649567504 Riverside Medical Center LLC Clinic/Center 3152 N University Ave Ste 100, Provo, UT 84604-4729 2011-06-29
1992942635 Ihc Health Services Inc Clinic/Center 750 W 200 N, Provo, UT 84601-2606 2009-01-16
1477678589 Ihc Health Services Inc Clinic/Center 1034 N 500 W, Provo, UT 84604-3380 2007-03-20
1093764805 Central Utah Clinic, P.C. Clinic/Center 1055 N 500 W, Provo, UT 84604-3305 2006-05-09
1326096728 Intermountain Healthcare Clinic/Center 1055 N 300 W, 500, Provo, UT 84604-3344 2006-05-05

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1740836345 The Lift Clinic, LLC Clinic/Center 345 W 100 S # 6c, Slc, UT 84101-1209 2019-08-11
1952953101 Restorative Health Primary Care Clinic/Center 850 E 9400 S Ste 101, Sandy, UT 84094-4114 2019-07-09
1063986800 Healthworks Med Group of Utah P C Clinic/Center 4163 S 3200 W, West Valley City, UT 84119-5128 2019-01-15
1235615790 Community Birth Group Clinic/Center 1190 E 5425 S Ste 330, South Ogden, UT 84403-4548 2018-07-17
1275044075 Edge Medical Services Inc. Clinic/Center 959 W Sedge Ct, Farmington, UT 84025-2541 2017-10-19
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Competitor

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City PROVO
Zip Code 84604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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