SOUTH OGDEN CHIROPRACTIC HEALTH (NPI# 1689741084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689741084 |
| Entity Type | Organization |
| Organization Name | SOUTH OGDEN CHIROPRACTIC HEALTH |
| Other Organization Name | SKYLINE CHIROPRACTIC |
| Practice Address |
2454 Monroe Blvd Ogden UT 84401-2506 |
| Practice Telephone | 8016755600 |
| Practice Fax Number | 8016053715 |
| Mailing Telephone | 8016755600 |
| Mailing Fax Number | 8016053715 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-12-31 |
| Authorized Official Name | MRS. JENNIFER BUNN (SECRATARY) |
| Authorized Official Telephone | 8016755600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 287585-1202 | UT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | NONTRAD BCBS | 28758512077001 | 01 |
| UT | SELECT HEALTH IHC | 107012083102 | 01 |
| UT | UNITED HEALTH CARE | 2238351 | 01 |
| UT | TADITIONAL BCBS | 28758512000001 | 01 |
| UT | 505063944001 | 05 | |
| UT | ALTIUS | 197164 | 01 |
| Other Name | Type Code |
|---|---|
| Skyline Chiropractic | Other Name - Individual/Organization |
| Street Address |
2454 MONROE BLVD |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376651950 | Christopher John Bunn | Chiropractor | 2454 Monroe Blvd, Ogden, UT 84401-2506 | 2006-08-25 |
| 1093226771 | Wake Up Sense LLC | Behavioral Analyst | 2454 Monroe Blvd, Ogden, UT 84401-2506 | 2017-10-20 |
| 1053657676 | Skyline Medical LLC | Durable Medical Equipment & Medical Supplies | 2454 Monroe Blvd, Ogden, UT 84401-2506 | 2012-12-31 |
| 1669627188 | Mark Jolley, P.C. | Chiropractor | 2454 Monroe Blvd, Ogden, UT 84401-2506 | 2008-11-25 |
| 1801986310 | Mark Allen Jolley | Chiropractor | 2454 Monroe Blvd, Ogden, UT 84401-2506 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669005419 | Elite Corrections Chiropractic | Chiropractor | 1893 E Skyline Dr Ste 204, Ogden, UT 84403-5228 | 2020-02-20 |
| 1790252922 | Aubrey Hunter | Chiropractor | 314 W Mulberry St, Ogden, IA 50212-7352 | 2018-10-25 |
| 1245694728 | Pain & Injury Clinic of Utah | Chiropractor | 1186 E. 4600 S., Suite 220, Ogden, UT 84403 | 2016-04-11 |
| 1013290030 | Functional Chiropractic Pllc | Chiropractor | 329 W Walnut St, Ogden, IA 50212-3048 | 2011-09-26 |
| 1093049462 | Tucker Chiropractic | Chiropractor | 526 Riley Ave, Ogden, KS 66517-0103 | 2009-10-01 |
| 1871744334 | Charles W Stohel | Chiropractor | 1028 40th St, Ogden, UT 84403-2404 | 2008-10-02 |
| 1437314655 | Advanced Chiropractic | Chiropractor | 1069 Stewart St # 1, Ogden, UT 84404-1337 | 2008-07-28 |
| 1265696546 | Eric C Satterthwaite | Chiropractor | 1069 Stewart St Ste 1, Ogden, UT 84404-1337 | 2008-07-15 |
| 1497939276 | Kevin A Roberts Inc | Chiropractor | 924 24th St, Suite 2, Ogden, UT 84401-2641 | 2007-12-28 |
| 1255513107 | Joshua Raphael Phelps | Chiropractor | 1900 Washington Blvd, Suite 104, Ogden, UT 84401-6850 | 2007-12-03 |
| Find all providers in OGDEN | ||||
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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.