Organization Active NPI

Raindancer Youth Services, Inc.

  • Case Management Agency
  • St George, UT
National Provider Identifier
1912067935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
61005070 Issued in NM
Legal business name
RAINDANCER YOUTH SERVICES, INC.
Practice address
37 W 1070 S
Suite 201
St George, UT 84770-5280
Phone
(435) 656-1020
Fax
(435) 673-6477
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kathrine Gollaher
Title
Accounts Receivable
Phone
(435) 656-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 61005070 NM Primary

Addresses

Primary practice location

37 W 1070 S
Suite 201
St George, UT 84770-5280

Mailing address

PO Box 910400
St George, UT 84791-0400
Phone (435) 656-1020

Other identifiers 1

IdentifierTypeStateIssuer
61005070MedicaidNM

National Provider Directory

National Provider Directory

Locations

37 W 1070 S
Ste 201
St George, UT 84770
Phone (435) 656-1020

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912067935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910400",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847910400",
            "telephone_number": "435-656-1020",
            "fax_number": "435-673-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W 1070 S",
            "address_2": "SUITE 201",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705280",
            "telephone_number": "435-656-1020",
            "fax_number": "435-673-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINDANCER YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLLAHER",
        "authorized_official_first_name": "KATHRINE",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "435-656-1020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": "61005070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61005070",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.