Organization Active NPI

Access Foundation Corp.

  • Case Manager/Care Coordinator
  • St George, UT
National Provider Identifier
1104698422
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ACCESS FOUNDATION CORP.
Practice address
283 W Auto Mall Dr Ste 4
St George, UT 84770-2200
Phone
(435) 680-1459
NPI assigned
Oct 30, 2023
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Michael Keenan, LASUDCNPI 1417428178
Title
Executive Director
Phone
(435) 680-1459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

283 W Auto Mall Dr Ste 4
St George, UT 84770-2200

Mailing address

283 W Auto Mall Dr Ste 4
St George, UT 84770-2200
Phone (435) 680-1459

National Provider Directory

National Provider Directory
Tax ID family
Access Foundation Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1104698422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 W AUTO MALL DR STE 4",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702200",
            "telephone_number": "435-680-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 W AUTO MALL DR STE 4",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702200",
            "telephone_number": "435-680-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS FOUNDATION CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "KEENAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-680-1459",
        "authorized_official_credential": "LASUDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.