| Organization Name: | VIRGIN RIVER HEALTHCARE, INC. |
| NPI Number: | 1417341777 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN J GOCHNOUR (VICE PRESIDENT) |
| Mailing Address: | 1664 S Dixie Dr Suite C105 St George |
| State: | UT US |
| Postal Code: | 847707327 |
| Phone Number: | 4356743640 |
| Fax Number: | 4356740778 |
| NPI Enumeration Date: | 03/25/2015 |
| NPI Last Update Date: | 03/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |