OrganizationActive
Advantage Spine Care Center LLC
NPI 1528368610 · Ambulatory Surgical Clinic/Center · St George, UT
Provider details
- NPI number
- 1528368610
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roger Russell, Administrator(435) 656-0234
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
619 S Bluff St
Suite 401
St George, UT 84770-3853
Phone: (435) 656-0234
Fax: (435) 656-2622
Street-level locationGet directions
Mailing address
619 S Bluff St
St George, UT 84770-3853
Registry dates
- Enumerated
- 2010-10-24
- Last updated
- 2010-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.