ELK RIDGE ASSISTED LIVING


Address: 218 W Olympic Dr, Elk Ridge, UT 84651-5712
Phone: 8013587343

ELK RIDGE ASSISTED LIVING (NPI# 1407288400) 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) 1407288400
Entity Type Organization
Organization Name ELK RIDGE ASSISTED LIVING
Practice Address 218 W Olympic Dr
Elk Ridge
UT 84651-5712
Practice Telephone 8013587343
Enumeration Date 2013-08-01
Last Update Date 2013-08-01
Authorized Official Name CHRIS HERMANSEN (OWNER)
Authorized Official Telephone 8013587343
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Office Location

Street Address 218 W OLYMPIC DR
City ELK RIDGE
State UT
Zip Code 84651-5712

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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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1104122720 Wasathc Health Solutions Clinic/Center 1135 Parkstone Dr, Draper, UT 84020-8305 2011-01-28
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1093863342 Wayne Community Health Centers Inc Clinic/Center 30 South Hwy 95, Hanksville, UT 84734 2007-01-05
1861587081 Bear Lake Community Health Center Pharmacy Clinic/Center 325 West Logan Hwy., Garden City, UT 84028 2006-10-04
1093816282 Wayne Community Health Centers Inc Clinic/Center 128 S 300 W, Bicknell, UT 84715 2006-09-26
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Competitor

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City ELK RIDGE
Zip Code 84651

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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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