| Regina Tippets Pllc | |
|
505 Nygreen St Grantsville UT 84029-9421 | |
| (801) 450-8813 | |
| Not Available |
| Full Name | Regina Tippets Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 505 Nygreen St, Grantsville, Utah |
| Authorized Official Name and Position | Jeff Tippets (OFFICE MANAGER) |
| Authorized Official Contact | 8014508813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regina Tippets Pllc 505 Nygreen St Grantsville UT 84029-9421 Ph: (801) 450-8813 | Regina Tippets Pllc 505 Nygreen St Grantsville UT 84029-9421 Ph: (801) 450-8813 |
| NPI Number | 1568864809 |
|---|---|
| Provider Enumeration Date | 09/18/2014 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568864809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 289022-6004 (Utah) | Primary |
Regina Tippets Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Nygreen St, Grantsville, UT 84029 Phone: 801-450-8813 | |
Rubicon Transformation Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 E Main St Ste G101, Grantsville, UT 84029 Phone: 801-898-4686 Fax: 801-931-2027 |