SNOW CANYON CLINIC, INC. (NPI# 1235185646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235185646 |
| Entity Type | Organization |
| Organization Name | SNOW CANYON CLINIC, INC. |
| Practice Address |
272 E Center St Ivins UT 84738-6456 |
| Practice Telephone | 4359862300 |
| Practice Fax Number | 4359862323 |
| Mailing Telephone | 4359862300 |
| Mailing Fax Number | 4359862323 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | REBECCA JOHNSON (CEO) |
| Authorized Official Telephone | 4359862395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
272 E CENTER ST |
| City | IVINS |
| State | UT |
| Zip Code | 84738-6456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770540619 | Gary Lee Jones | Psychiatry & Neurology | 272 E Center St, Ivins, UT 84738-6456 | 2006-04-26 |
| 1568794162 | Health Force One | Family Medicine | 272 E Center St, Ivins, UT 84738-6456 | 2010-02-05 |
| 1700031473 | Mary C Freesh | Family Medicine | 272 E Center St, Suite 201, Ivins, UT 84738-6456 | 2008-11-22 |
| 1629163555 | Drew D Richards | Dentist | 272 E Center St, Ste 205, Ivins, UT 84738-6456 | 2006-10-04 |
| 1154429397 | Steven Raymond Leydsman | Dentist | 272 E Center St, Suite #205, Ivins, UT 84738-6456 | 2006-09-20 |
| 1720180599 | Adam Boyd Webb | Physical Therapist | 272 E Center St, Suite 103, Ivins, UT 84738-6456 | 2006-09-02 |
| 1871511824 | Metwest Inc | Clinical Medical Laboratory | 272 E Center St, 220, Ivins, UT 84738-6456 | 2006-07-18 |
| 1275583296 | Martin M Shinedling | Clinical Neuropsychologist | 272 E Center St, Suite 207, Ivins, UT 84738-6456 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366783466 | Avalon Care Center - Va Ivins, LLC | Skilled Nursing Facility | 160 North 200 East, Ivins, UT 84738 | 2013-03-14 |
| 1801063441 | Paiute Indian Tribe of Utah | Clinic/Center | 3705 N 6100 W, Ivins, UT 84738 | 2008-05-13 |
| 1639274574 | Mark Lee Wardle | Family Medicine | 255 E Center St, Ivins, UT 84738 | 2006-09-14 |
| 1083670459 | Raymond Jack Middleton | Family Medicine | 653 South 170 West, Ivins, UT 84738 | 2006-04-25 |
| 1447655063 | Heather Reynolds | Physician Assistant | 3705 N 6100 W, Ivins, UT 84738 | 2014-10-24 |
| 1558590539 | Paiute Indian Tribe of Utah | Prosthetic/Orthotic Supplier | 3705 N 6100 W, Ivins, UT 84738 | 2009-07-10 |
| 1316182678 | Scott Robert Moore | Massage Therapist | 565 S 250 E, Ivins, UT 84738-5010 | 2008-12-15 |
| 1700331162 | At Home Care and Health Services | In Home Supportive Care | 639 S 315 E, Ivins, UT 84738-5054 | 2016-08-16 |
| 1609315431 | At Home Care and Health Services LLC | Private Vehicle | 639 S 315 E, Ivins, UT 84738-5054 | 2017-02-13 |
| 1841515889 | Donna Alexander | Speech-Language Pathologist | 302 S 380 W, Ivins, UT 84738-5104 | 2010-04-01 |
| Find all providers in zip 84738 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 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.