Agtech4Vets

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AGTECH4VETS

Practice address

1883 West Royal Hunte Dr Ste 200a
Cedar City, UT 84720-4000

Phone

(855) 772-3374

Fax

(855) 483-2771

NPI assigned

Jun 20, 2023

Last updated

Jun 20, 2023By 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

Jacqueline IversonNPI 1699202259

Title

Manager

Phone

(202) 569-2990

Specialties & licenses 2

Addresses

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.

• Jacqueline Iverson

  • Point of Service
  • Temple Hills, MD
  • NPI 1699202259
  NPD Authorized official

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1356026017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 WEST ROYAL HUNTE DR STE 200A",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847204000",
            "telephone_number": "855-772-3374",
            "fax_number": "855-483-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 WEST ROYAL HUNTE DR STE 200A",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847204000",
            "telephone_number": "855-772-3374",
            "fax_number": "855-483-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGTECH4VETS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-569-2990"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Family Vision Center, Inc.
• Advanced Foot & Ankle
• Advanced Vein and Vascular of Southern Utah LLC
• Advanced Wound Care of Utah PLLC
• Aging Clinic of Southern Utah PLLC
• Aidan Robinson Therapy PLLC
• Adelaide Aland
• Tyler R Albrecht, DMD
• William Scott Albrecht, O.D.
• Tarnue K. G. Ali

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.