Flaglife, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FLAGLIFE, INC

Practice address

362 W Saint George Blvd
Saint George, UT 84770-3352

Phone

(435) 652-0100

Fax

(435) 652-0103

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark T. Poulton, C, PED

Title

President/Owner

Phone

(435) 652-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Foot Solutions Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dan Phelps

  • Pedorthist
  • St George, UT
  • NPI 1811555352
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1295740652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 W SAINT GEORGE BLVD",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703352",
            "telephone_number": "435-652-0100",
            "fax_number": "435-652-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 W SAINT GEORGE BLVD",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847703352",
            "telephone_number": "435-652-0100",
            "fax_number": "435-652-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGLIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "POULTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "435-652-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C, PED"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMBA MANAGED CARE PLAN",
            "identifier": "DESERET MUTUAL BENEF",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylynn Fisher, CSW
• Rodney Colton Fisher
• Kristen Fitzgerald
• Five County Association of Governments
• Amber Fjeldsted, ACMHC
• Katelyn Paige Flagmeier
• Devin Flaherty, CSW
• Dawson Flake, OT
• Christopher Michael Flannery, MD
• Dylan Ashlee Fleig

• Durable Medical Equipment & Medical Supplies in Saint George, UT
• Providers in Saint George, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.