Active NPI
Raindancer Youth Services, Inc.
- Case Management Agency
- St George, UT
National Provider Identifier
1912067935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 61005070
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61005070 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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.