PF St. George, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PF ST. GEORGE, LLC

Practice address

42 S River Rd Ste 8
St George, UT 84790-2139

Phone

(435) 673-3788

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Joshua C Moran

Title

Owner

Phone

(435) 669-6188

Specialties & licenses 1

Addresses

Other names 1

• HIVE THERAPY Doing business as

Locations

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1437886223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 S RIVER RD STE 8",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902139",
            "telephone_number": "435-673-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 S RIVER RD STE 8",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902139",
            "telephone_number": "435-673-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PF ST. GEORGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-669-6188"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIVE THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Michael Petralia
• Whitney Petrich
• Trevor W Pettingill, MPT
• April Pettit, APRN
• Bobbie Petty
• Brenna Pham
• Hansen H Phangia, BC-HIS
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• Pharmboy Ventures Unlimited Inc
• Pharmboy Ventures Unlimited, Inc

• Multi-Specialty Clinic/Center in St George, UT
• Providers in St George, UT by specialty
• Multi-Specialty Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.