Colbren Management LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

13428 Issued in UT

Legal business name

COLBREN MANAGEMENT LLC

Doing business as

Colbren Family Care

Practice address

1071 E 100 S
Suite D3S
St George, UT 84770-3070

Phone

(435) 656-4515

Fax

(435) 673-9178

NPI assigned

Jan 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Brent K Demille, LCSW

Title

President/Owner

Phone

(435) 656-4515

Specialties & licenses 1

Addresses

Other names 1

• Colbren Family Care Doing business as

Locations

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201305600000",
    "number": "1073790655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 E 100 S",
            "address_2": "SUITE D3S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703070",
            "telephone_number": "435-656-4515",
            "fax_number": "435-673-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 E 100 S",
            "address_2": "SUITE D3S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703070",
            "telephone_number": "435-656-4515",
            "fax_number": "435-673-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBREN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-26",
        "last_updated": "2008-01-26",
        "status": "A",
        "authorized_official_last_name": "DEMILLE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "435-656-4515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "13428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colbren Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanya Coburn, CM
• Paul Siddoway Cochran, A.P.R.N
• Michael A Codiga, MD
• Amanda Coffey
• Jeremy Bret Colbert, DPT
• Kyla Marie Colburn
• Blake Michael Cole
• Erika Melyse Cole
• Linda Cole
• Emmakaite Coleman

• Community/Behavioral Health Agency in St George, UT
• Providers in St George, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2008; 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.