| Crimson Heights Llc | |
|
249 E Tabernacle St Ste 100 St George UT 84770-2951 | |
| (435) 592-3789 | |
| Not Available |
| Full Name | Crimson Heights Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 249 E Tabernacle St Ste 100, St George, Utah |
| Authorized Official Name and Position | Ryan R Ruud (PRESIDENT / OWNER) |
| Authorized Official Contact | 4355923789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crimson Heights Llc 348 E 600 S St George UT 84770-3949 Ph: (435) 705-7574 | Crimson Heights Llc 249 E Tabernacle St Ste 100 St George UT 84770-2951 Ph: (435) 592-3789 |
| NPI Number | 1457863771 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Medicare PECOS PAC ID | 8527328756 |
|---|---|
| Medicare Enrollment ID | O20180208002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457863771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Austin K Elder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881651115 PECOS PAC ID: 0749268530 Enrollment ID: I20040708001298 |
| Provider Name | Ryan Ruud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972911881 PECOS PAC ID: 7810262581 Enrollment ID: I20171005000939 |
| Provider Name | Raymond Forrester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184026593 PECOS PAC ID: 3678907730 Enrollment ID: I20191223001968 |
| Provider Name | Brett Grimm |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447793468 PECOS PAC ID: 3072970482 Enrollment ID: I20230530002956 |
| Provider Name | Dallas G Garner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982260782 PECOS PAC ID: 4880048321 Enrollment ID: I20231002002666 |
| Provider Name | Kimberly Fincher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205408325 PECOS PAC ID: 4789021643 Enrollment ID: I20240327002044 |
| Provider Name | Elysia Molly Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376209080 PECOS PAC ID: 4486093481 Enrollment ID: I20240423002026 |
| Provider Name | Kelli Ann Stoker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801666060 PECOS PAC ID: 7517309248 Enrollment ID: I20240528001256 |
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