Utah PHS LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UTAH PHS LLC

Practice address

321 N Mall Dr BLDG R
Red Cliffs Professional Park
Saint George, UT 84790-7302

Phone

(877) 260-4747

NPI assigned

Aug 16, 2010

Organization subpart

No

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

Authorized official

Name

Mark Smith

Title

Ceo

Phone

(901) 261-4843

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Beverly Ann Hall, FNP-C

  • Family Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1558334979
  NPD (past)

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1619282571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 CRESTWYN HILLS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258501",
            "telephone_number": "901-261-4848",
            "fax_number": "901-261-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N MALL DR BLDG R",
            "address_2": "RED CLIFFS PROFESSIONAL PARK",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847907302",
            "telephone_number": "877-260-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH PHS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-261-4843"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utah Heart Institute LLC
• Utah Mobility Medtrans
• Utah Mobility Medtrans
• Utah Mountain Dental Partners PC
• Utah Neurosurgery PC
• Utah Provider Group
• Utah Surgical Associates
• Colton Samuel Utley, DMD
• Cooper James Utley
• Dan Utley, DDS

• Family Medicine Physician in Saint George, UT
• Providers in Saint George, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.