Premier Tms | |
1490 E Foremaster Dr Ste 340 St George UT 84790-4506 | |
(435) 216-9290 | |
(435) 865-9115 |
Full Name | Premier Tms |
---|---|
Speciality | Clinic/Center |
Location | 1490 E Foremaster Dr Ste 340, St George, Utah |
Authorized Official Name and Position | Willaim Sidney Young (PRESIDENT) |
Authorized Official Contact | 4352169290 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Premier Tms 1490 E Foremaster Dr Ste 340 St George UT 84790-4506 Ph: (435) 216-9290 | Premier Tms 1490 E Foremaster Dr Ste 340 St George UT 84790-4506 Ph: (435) 216-9290 |
NPI Number | 1235460312 |
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Provider Enumeration Date | 01/28/2010 |
Last Update Date | 05/23/2019 |
Medicare PECOS PAC ID | 8022350677 |
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Medicare Enrollment ID | O20190430002487 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235460312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | William S Young |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1669602884 PECOS PAC ID: 7416192604 Enrollment ID: I20130315000401 |
Provider Name | Wayne Frederick Brown |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1730125956 PECOS PAC ID: 6204736150 Enrollment ID: I20140613002038 |
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