<Unavail>

LBN: Bridge Clinic, Pllc
<Unavail> is an health care organization with primary practice located at 230 N 1680 E Ste N1 , St George UT 84790-2596. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Bridge Clinic, Pllc can be contacted via phone (435) 313-7237, or through Kenworthy, Trent via phone (435) 313-7237.

Contact Information

Primary practice address
230 N 1680 E Ste N1 St George UT 84790-2596
Phone: (435) 313-7237
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kenworthy, Trent Nurse Practitioner (NP)
Phone: (435) 313-7237

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1194561670
LBN Legal business name Bridge Clinic, Pllc
DBA Doing business as <Unavail>
Authorized official Kenworthy, Trent Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2024
Last updated Sep 10th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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