Southwest Spine and Pain Care Specialists LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC

Doing business as

Southwest Healing and Wellness Center

Practice address

1085 S Bluff St Ste 200
Saint George, UT 84770-5245

Phone

(435) 218-7778

Fax

(435) 275-0156

NPI assigned

Mar 6, 2018

Last updated

Mar 6, 2018By 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

Ashley Pfatenhauer

Title

Credentialing Specialist

Phone

(435) 215-0230

Specialties & licenses 1

Addresses

Other names 1

• Southwest Healing and Wellness Center Doing business as

Tax ID family

SW Spine and Pain Care SPC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Southwest Spine and Pain Care Specialists, LLC

  dba Physicians Laboratory Services

  • Clinical Medical Laboratory
  • St George, UT
  • NPI 1003441858
  NPD tax ID

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1508368465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 S MEDICAL CENTER DR STE 110",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907077",
            "telephone_number": "435-215-0230",
            "fax_number": "435-251-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 S BLUFF ST STE 200",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847705245",
            "telephone_number": "435-218-7778",
            "fax_number": "435-275-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST SPINE AND PAIN CARE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "PFATENHAUER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "435-215-0230"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Healing and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Internal Medicine, P. C.
• Southwest Medical Supplies, LLC
• Southwest Musculoskeletal Medicine Clinic PC
• Southwest Neurological Rehabilitation Center
• Southwest Skin and Cancer LLC
• Southwest Spine and Pain Care Specialists, LLC (Physicians Laboratory Services)
• Southwest Spine and Pain Care Specialists, LLC (Physician Laboratory Services)
• Southwest Spine and Pain Care Specialists, LLC (Vista Spine Sports and Injury Center)
• Southwest Surgery Center LLC
• Southwest Surgical Associates

• 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 Mar 6, 2018; 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.