SIMON COLLEY (NPI# 1497947691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497947691 |
Entity Type | Individual |
Full Name | SIMON COLLEY |
Practice Address |
960 N Dixie Downs Rd St George UT 84770-4206 |
Mailing Address |
474 W 200 N Suite 300 St George UT 84770-4505 |
Practice Telephone | 4356280612 |
Practice Fax Number | 4356288911 |
Mailing Telephone | 4356345600 |
Mailing Fax Number | 4359868700 |
Enumeration Date | 2007-08-13 |
Last Update Date | 2007-08-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | SWCBH STAFF CODE | COLLES | 01 |
Street Address |
960 N DIXIE DOWNS RD |
City | ST GEORGE |
State | UT |
Zip Code | 84770-4206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184758344 | Summer W Warden | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2007-03-16 |
1225382310 | Jessica Saccomanno | Case Manager/Care Coordinator | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2012-10-29 |
1164707477 | Mikell Jo Jensen | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2011-10-18 |
1689970287 | Christopher Deross Knowlton | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2011-01-31 |
1003144510 | Jeremy Larson | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2009-11-20 |
1194973560 | Amy Irene Kent | Social Worker | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2008-08-28 |
1194992552 | Ryan Forbes | Case Manager/Care Coordinator | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2008-05-14 |
1376710731 | Leanna Singler | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2008-05-14 |
1972770568 | Amanda H Nelson | Case Manager/Care Coordinator | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2008-05-13 |
1679765861 | Tonya Lynn Morrow | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2007-08-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740808500 | Redstone Reference Laboratories Inc | Clinical Medical Laboratory | 556 N Dixie Drive, Suite 2, St George, UT 84770 | 2020-07-08 |
1033776315 | Ecko Ashmore | Marriage & Family Therapist | 1173 S. 250 W. Bld 1 Ste 208, St. George, UT 84770 | 2019-05-22 |
1740844679 | Amy Darragh | Behavior Technician | 249 E Tabernacle St, Ste 100, St George, UT 84770 | 2019-04-25 |
1124598198 | Loren Kyle Gulbranson | Internal Medicine | Dixie Regional Medical Center, 515 South, 300 East, Saint George, UT 84770 | 2018-12-03 |
1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
1588162911 | Desert Edge Medical | Family Medicine | 1664 S Dixie Dr Ste D201, St George, UT 84770 | 2018-01-31 |
1568981314 | Jeffrey Joseph Peterson | Behavior Technician | 162 N 400 E Ste A-105, St. George, UT 84770 | 2017-09-13 |
1992242549 | Zachary Carey | Specialist/Technologist | 1115 W Diamond Valley Dr, Saint George, UT 84770 | 2017-01-20 |
1669920427 | Charles Taylor Church | Technician, Other | 474 West 200 East, St. George, UT 84770 | 2016-09-21 |
1952755480 | Hollystic Hideaway | Voluntary or Charitable | 1418 W Sunset Blvd. # 2, Saint George, UT 84770 | 2016-04-21 |
Find all providers in zip 84770 |
Taxonomy Code | 247200000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Other |
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477070860 | Shannon Van Patten Sanders | Technician, Other | 424 West 200 North, St George, UT 84770-4505 | 2017-08-25 |
1831372887 | Colleen K Forest | Technician, Other | 619 S 700 E, St George, UT 84770-3990 | 2007-12-13 |
1184758344 | Summer W Warden | Technician, Other | 960 N Dixie Downs Rd, St George, UT 84770-4206 | 2007-03-16 |
1538767892 | Angela Hunt | Technician, Other | 474 W 200 N # 300, St George, UT 84770-4505 | 2020-10-09 |
1619575974 | Chree Bohn | Technician, Other | 474 W 200 N # 300, St George, UT 84770-4505 | 2020-10-09 |
1851905509 | Jordan Brent Smith | Technician, Other | 474 W 200 N # 300, St George, UT 84770-4505 | 2020-09-01 |
1801409180 | Maklayne Lorne Wilks | Technician, Other | 474 W 200 N Ste 300, St George, UT 84770-4505 | 2020-08-26 |
1922618644 | Jennifer Mae Young | Technician, Other | 474 W 200 N Ste 300, St George, UT 84770-4505 | 2020-08-06 |
1750991477 | Jesica Jamie Adamson | Technician, Other | 474 W 200 N Ste 300, St George, UT 84770-4505 | 2020-08-06 |
1538784160 | Mikenda Pearl Busic | Technician, Other | 474 W 200 N, St George, UT 84770-4505 | 2020-06-09 |
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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.