Paragon Healthcare Of Utah, Llc
LBN: Therapeutic Wellness Center
Paragon Healthcare Of Utah, Llc is an health care organization with primary practice located at 5974 Fashion Point Dr Suite 100, South Ogden UT 84403-4699. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), which is considered as the primary health care specialty.
Therapeutic Wellness Center can be contacted via phone (801) 479-9644, or through Fielding, Dawn via phone (801) 479-9644.
Contact Information
Primary practice address
5974 Fashion Point Dr Suite 100
South Ogden UT 84403-4699
Phone: (801) 479-9644
Fax: (801) 479-9639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | 7487072-0161 | Utah |
Profile Details
| NPI number | 1174858823 |
|---|---|
| LBN Legal business name | Therapeutic Wellness Center |
| DBA Doing business as | Paragon Healthcare Of Utah, Llc |
| Authorized official | Fielding, Dawn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 14th, 2009 |
| Last updated | May 31st, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174858823 | NPPES |
| Utah | Other | U000072054 | MEDICARE PTAN |
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