| Advanced Mobile Care | |
|
1971 S 2660 E St George UT 84790-7114 | |
| (435) 559-2911 | |
| Not Available |
| Full Name | Advanced Mobile Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1971 S 2660 E, St George, Utah |
| Authorized Official Name and Position | Ashley Yardley (OWNER) |
| Authorized Official Contact | 4355592911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Mobile Care 1971 S 2660 E St George UT 84790-7114 Ph: (435) 559-2911 | Advanced Mobile Care 1971 S 2660 E St George UT 84790-7114 Ph: (435) 559-2911 |
| NPI Number | 1992461560 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/09/2021 |
| Medicare PECOS PAC ID | 4880089499 |
|---|---|
| Medicare Enrollment ID | O20220317002267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992461560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Paul Douglas Nielson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114039070 PECOS PAC ID: 6406139377 Enrollment ID: I20210721003769 |
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