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Contact Information

ST GEORGE HEART AND VASCULAR
1841 E RIVERSIDE DR STE 102
SAINT GEORGE, UT84790-7063
 Phone: 406-690-2008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for ST GEORGE HEART AND VASCULAR

NPI # 1831815984
LBN Legal business name ST GEORGE HEART AND VASCULAR
Authorized official CHARLES NEEDHAM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/19/2022
Last updated 03/06/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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