MR. ANDREW JACKSON (NPI# 1285172841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285172841 |
| Entity Type | Individual |
| Full Name | MR. ANDREW JACKSON |
| Credential | MOTR/L |
| Practice Address |
284 N Hospital Dr Price UT 84501-4233 |
| Mailing Address |
1677 W 2100 N Helper UT 84526-2458 |
| Practice Telephone | 4356364841 |
| Mailing Telephone | 4356507128 |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
10241270-4201 | UT | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093279572 | Andrew Jay Jackson | Technician | 125 County Road 4209, Jacksonville, TX 75766-5574 | 2019-01-29 |
| 1568591287 | Andrew Lee Jackson | Dentist | 600 Mccranie Avenue, Willacoochie, GA 31650 | 2007-03-06 |
| 1194811240 | Andrew Spencer Jackson | Dentist | 1832 Capitol St, Vallejo, CA 94590 | 2006-10-05 |
| 1245291954 | Andrew Dan Jackson | Chiropractor | 1025 W Carolina Ave, Hartsville, SC 29550-4427 | 2006-03-31 |
| 1447850227 | Andrew Jackson | Pharmacist | 3520 Hudson Dr, Stow, OH 44224-2907 | 2020-10-29 |
| 1528559358 | Andrew Jackson | Case Manager/Care Coordinator | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2018-05-29 |
| 1134618820 | Andrew Jackson IIi | Chiropractor | 460 S 14th St, Midlothian, TX 76065-3514 | 2018-05-08 |
| 1497253835 | Andrew Boyd Jackson | Emergency Medicine | 1459 Laney Walker Blvd, Augusta, GA 30912 | 2018-01-31 |
| 1508309055 | Andrew Jackson IIi | Case Manager/Care Coordinator | 1401 Hudson Ln, Suite 202, Monroe, LA 71201-6068 | 2016-11-30 |
| 1285177253 | Andrew Jackson | Naturopath | 12025 Lake City Way Ne Ste B, Seattle, WA 98125-5331 | 2016-11-23 |
| Street Address |
284 N HOSPITAL DR |
| City | PRICE |
| State | UT |
| Zip Code | 84501-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902893993 | David Alan Nichols | Internal Medicine | 284 N Hospital Dr, Ste 2, Price, UT 84501-4235 | 2005-10-04 |
| 1285142018 | Kristiann Henricksen | Physical Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2018-01-15 |
| 1215386768 | Johnny Downard | Occupational Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2016-06-06 |
| 1679956445 | Pine Top Medical P.C. | Clinic/Center | 284 N Hospital Dr, Suite 2, Price, UT 84501-4233 | 2015-06-29 |
| 1174910434 | Tiffni Elizabeth Monahan | Physical Therapy Assistant | 284 N Hospital Dr, Price, UT 84501-4233 | 2015-04-23 |
| 1417394511 | Robert Michael Behunin | Occupational Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2013-05-29 |
| 1023276375 | Paul Kirsten Smith | Physical Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2008-05-22 |
| 1275714768 | William Scott Crider | Occupational Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2007-11-26 |
| 1194913491 | John Bradford Lewis | Physical Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2007-10-11 |
| 1225226624 | Robert Brian Powell | Physical Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2007-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| 1174160071 | Kelli Fowles | Pharmacist | Smith's Food & Drug, 1075 E Main St, Price, UT 84501 | 2019-12-10 |
| 1225683733 | Zachary Kreek | Registered Nurse | 77 South 600 East Suite C, Price, UT 84501 | 2019-08-02 |
| 1578036547 | Boni Lee Taylor | Counselor | 445 North Carbonville Road, Price, UT 84501 | 2019-01-02 |
| 1023591310 | Center for Independent Living, Inc | Durable Medical Equipment & Medical Supplies | 2490 Mariner Square Loop, Suite 210, Alameda, CA 84501 | 2018-09-12 |
| 1023500360 | Dkmcomber Clinical Services | Nurse Practitioner | 590 E 100 N Ste 7, Price, UT 84501 | 2018-06-02 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1255783874 | Cacilia Jensen | Case Manager/Care Coordinator | 105 W. 100 N., Price, UT 84501 | 2016-07-07 |
| 1801133905 | Joseph Micah Woodard | Counselor | 575 E. 100 S., Price, UT 84501 | 2013-01-09 |
| 1447513221 | Eugene Douglas Larsen Jr. | Internal Medicine | 280 N Hospital Dr Ste 4, Price, UT 84501 | 2012-06-18 |
| Find all providers in zip 84501 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487067252 | Scoti Moon | General Acute Care Hospital | 300 N Hospital Dr, Price, UT 84501-4218 | 2014-06-09 |
| 1417064205 | Castleview Hospital LLC | General Acute Care Hospital | 300 N Hospital Dr, Price, UT 84501-4218 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124298203 | Gateway Aesthetic Institute & Laser Center | General Acute Care Hospital | 440 W 200 S, Suite 250, Salt Lake City, UT 84101-1345 | 2008-03-05 |
| 1982922514 | Blue Mountain Hospital | General Acute Care Hospital | 802 S 200 W, Blanding, UT 84511-3910 | 2010-05-06 |
| 1447296249 | Ashley Valley Medical Center LLC | General Acute Care Hospital | 151 W 200 N, Vernal, UT 84078-1907 | 2006-06-21 |
Please comment or provide details below to improve the information on MR. ANDREW JACKSON.
| 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.