| Coral Canyon Joint & Spine Health | |
|
83 S 2600 W Ste 102 Hurricane UT 84737-3268 | |
| (435) 635-7771 | |
| Not Available |
| Full Name | Coral Canyon Joint & Spine Health |
|---|---|
| Speciality | General Practice |
| Location | 83 S 2600 W Ste 102, Hurricane, Utah |
| Authorized Official Name and Position | Joshua Alan Carr (MANAGING MEMBER) |
| Authorized Official Contact | 4356357771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Canyon Joint & Spine Health 83 S 2600 W Ste 102 Hurricane UT 84737-3268 Ph: (435) 635-7771 | Coral Canyon Joint & Spine Health 83 S 2600 W Ste 102 Hurricane UT 84737-3268 Ph: (435) 635-7771 |
| NPI Number | 1104345636 |
|---|---|
| Provider Enumeration Date | 09/15/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0446514749 |
|---|---|
| Medicare Enrollment ID | O20180517000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104345636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Utah) | Primary |
| Provider Name | Joshua A Carr |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538235221 PECOS PAC ID: 8123033644 Enrollment ID: I20060222000652 |
| Provider Name | Brian D Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558703306 PECOS PAC ID: 1850535725 Enrollment ID: I20130913000713 |
| Provider Name | Jason Ryan Vance |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124369988 PECOS PAC ID: 0244692630 Enrollment ID: I20230817000133 |
Chelle Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 48 S 2500 W Ste 240, Hurricane, UT 84737 Phone: 435-979-8627 | |
Hurricane Family Practice, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11 South Main, Hurricane, UT 84737 Phone: 435-635-9444 Fax: 435-635-8148 | |
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Family Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 391 North 200 West, Hurricane, UT 84737 Phone: 435-634-8500 | |
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