Healthcare Provider Details

I. General information

NPI: 1760304976
Provider Name (Legal Business Name): ACCESS FOUNDATION CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 W AUTO MALL DR STE 4
ST GEORGE UT
84770-2200
US

IV. Provider business mailing address

283 W AUTO MALL DR STE 4
ST GEORGE UT
84770-2200
US

V. Phone/Fax

Practice location:
  • Phone: 435-429-1269
  • Fax:
Mailing address:
  • Phone: 435-429-1269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL KEENAN
Title or Position: EXECUTIVE DIRECTOR
Credential: ALSUDC
Phone: 435-680-1459