Provider Demographics
NPI:1134947690
Name:PRESTIGE HEALTH CONCIERGE INC.
Entity type:Organization
Organization Name:PRESTIGE HEALTH CONCIERGE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MALIEVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:810-305-2280
Mailing Address - Street 1:1037 W TRANQUILLO ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84780-3128
Mailing Address - Country:US
Mailing Address - Phone:810-305-2280
Mailing Address - Fax:833-972-6044
Practice Address - Street 1:230 N 1680 E STE F
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-2579
Practice Address - Country:US
Practice Address - Phone:435-414-3049
Practice Address - Fax:833-972-6044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care