Organization
BALANCE HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD DAVID TILLER P.A. (CLINICAL DIRECTOR)
(435) 574-9777
Entity
Organization
Contact information
Practice address
120 W 1470 S STE C, ST GEORGE, UT 84770-6798
(877) 454-3055
Mailing address
120 W 1470 S STE C, ST GEORGE, UT 84770-6798
(877) 454-3055
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
7300098-1205
UT
282N00000X
General Acute Care Hospital
Primary
7300098-1205
UT
283X00000X
Rehabilitation Hospital
7300098-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497716344
NPI
—
01
—
1801235502
LLHC NPI
—
01
—
1881630572
NPI
—
01
—
7300098-1205
A MARTINEZ LICENSE
UT
01
—
7865804-1206
RD TILLER LICENSE
UT
Enumeration date
09/09/2013
Last updated
09/09/2013
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