DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AVALON CARE CENTER - BRIGHAM CITY, L.L.C.

MEDICARE: AVALON CARE CENTER - BRIGHAM CITY, L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility2004-NCF-76UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588665236
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVALON CARE CENTER - BRIGHAM CITY, L.L.C.
Provider Business Mailing Address
First Line : 206 N 2100 W
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84116-4740
Country : US
Telephone Number : 801-325-0153
Fax Number : 801-596-9001
Provider Business Practice Location Address
First Line : 815 S 200 W
Second Line :
City : BRIGHAM CITY
State : UT
Zip : 84302-3333
Country : US
Telephone Number : 435-723-5280
Fax Number : 435-723-0579
Authorized Official
Title or Position : VP POLICY GOVERNMENT RELATIONS
Name : MS. FAYE LINCOLN
Credential :
Telephone Number : 801-325-0153
Provider Enumeration Date : 08/03/2005
Last Update Date : 07/12/2016

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:
75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115
Practice Phone: 617-732-6049
Practice Fax: 617-264-5202
1598286858 — BEAVER VALLEY HOSPITAL
Practice Location Address:
815 S 200 W
BRIGHAM CITY, UT
84302-3333
Practice Phone: 435-723-5289
Practice Fax: 435-723-0579
1134622707 — JAMES ANTHONY BONDS SR.
Practice Location Address:
815 S 200 W
BRIGHAM CITY, UT
84302-3333
Practice Phone: 435-723-5289
Practice Fax:
1750872867 — GUNNISON VALLEY HOSPITAL
Practice Location Address:
815 S 200 W
BRIGHAM CITY, UT
84302-3333
Practice Phone: 435-723-5289
Practice Fax: 435-723-0579
1689431843 — RHONDA LYNN WILSON
Practice Location Address:
815 S 200 W
BRIGHAM CITY, UT
84302-3333
Practice Phone: 435-723-5289
Practice Fax:
1538054853 — AMANDA DAVIS
Practice Location Address:
815 S 200 W
BRIGHAM CITY, UT
84302-3333
Practice Phone: 435-723-5289
Practice Fax:

Directions to “AVALON CARE CENTER - BRIGHAM CITY, L.L.C. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.