Concierge Clinic LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CONCIERGE CLINIC LLC

Doing business as

Concierge Clinic LLC

Practice address

1224 S River Rd Ste B101
St George, UT 84790-8365

Phone

(435) 236-0835

NPI assigned

Mar 19, 2019

Last updated

Mar 19, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ray Klawitter

Title

Office Manager

Phone

(435) 236-0835

Specialties & licenses 1

Addresses

Other names 1

• Concierge Clinic LLC Doing business as

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1073072815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W INDIAN HILLS DR UNIT 46",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847701939",
            "telephone_number": "435-669-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 S RIVER RD STE B101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908365",
            "telephone_number": "435-236-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "KLAWITTER",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-236-0835"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "health@conciergeclinic.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "1224 S River Rd Ste B101",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847908365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Concierge Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in St George, UT
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.