Healthcare Provider Details

I. General information

NPI: 1629990924
Provider Name (Legal Business Name): HILTON HEALTHCARE LLC
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

2136 HARMONY PL BSMT CLINIC
ST GEORGE UT
84790-8314
US

IV. Provider business mailing address

2136 HARMONY PL BSMT CLINIC
ST GEORGE UT
84790-8314
US

V. Phone/Fax

Practice location:
  • Phone: 435-271-3524
  • Fax:
Mailing address:
  • Phone: 435-271-3524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BARBARA BOUD HILTON
Title or Position: OWNER
Credential: APRN
Phone: 435-271-3524