AVOCET MEDICAL IMAGING INC (NPI# 1679758296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679758296 |
Entity Type | Organization |
Organization Name | AVOCET MEDICAL IMAGING INC |
Practice Address |
1930 S Highway 89 Perry UT 84302-4119 |
Mailing Address |
274 N Main St Logan UT 84321-3915 |
Practice Telephone | 4357239700 |
Practice Fax Number | 4357239710 |
Mailing Telephone | 4357531600 |
Mailing Fax Number | 4357539521 |
Enumeration Date | 2008-01-02 |
Last Update Date | 2008-01-02 |
Authorized Official Name | DAVID CARTER (MANAGER) |
Authorized Official Telephone | 4357239700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
UT | Ambulatory Health Care Facilities |
Street Address |
1930 S HIGHWAY 89 |
City | PERRY |
State | UT |
Zip Code | 84302-4119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871592691 | Avocet Medical Imaging | Clinic/Center | 1930 S Highway 89, Perry, UT 84302-4119 | 2005-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
Find all providers in zip 84302 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
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.