Healthcare Provider Details

I. General information

NPI: 1558239707
Provider Name (Legal Business Name): RED CLIFFS HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 E FOREMASTER DR BLDG B
SAINT GEORGE UT
84790-4510
US

IV. Provider business mailing address

1490 E FOREMASTER DR BLDG B
SAINT GEORGE UT
84790-4510
US

V. Phone/Fax

Practice location:
  • Phone: 435-674-5195
  • Fax: 435-773-9594
Mailing address:
  • Phone: 435-674-5195
  • Fax: 435-773-9594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: SOON BURNAM
Title or Position: SECRETARY
Credential:
Phone: 949-540-1249