Provider Demographics
NPI:1386825404
Name:RED CLIFFS ADMINISTRATIVE SERVICES
Entity Type:Organization
Organization Name:RED CLIFFS ADMINISTRATIVE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:STRAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-673-3521
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84771-0040
Mailing Address - Country:US
Mailing Address - Phone:435-673-3521
Mailing Address - Fax:
Practice Address - Street 1:162 E 300 S
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3653
Practice Address - Country:US
Practice Address - Phone:435-673-3521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1768961205207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT526986694001Medicaid
UTPOO315542OtherRAIL ROAD MEDICARE
UT526986694001Medicaid