ADVANTAGE SPINE CARE CENTER LLC; NPI #1528368610

Contact Information

ADVANTAGE SPINE CARE CENTER LLC

619 S BLUFF ST
SUITE 401
SAINT GEORGE, UT 84770-3853

Phone: 435-656-0234
Fax: 435-656-2622
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ADVANTAGE SPINE CARE CENTER LLC

NPI Number	`1528368610`
LBN Legal business name	ADVANTAGE SPINE CARE CENTER LLC
Authorized official	ROGER RUSSELL - (ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/24/2010
Last updated	10/24/2010 - About 16 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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