PURE LIFE HEALTH AND WELLNESS LLC
NPI 1003521485
Clinic/Center in St George, UT

Active since January 19, 2023
617 E RIVERSIDE DR STE 104, ST GEORGE, UT 84790(801) 638-7826 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pure Life Health And Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PURE LIFE HEALTH AND WELLNESS LLC (NPI 1003521485) is a healthcare organization registered as a clinic/center in St George, Utah and active in the NPI registry since January 2023. The organization lists Aj Yergensen, Admin, as its authorized official.

NPPES Registry Identity

NPI1003521485
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePURE LIFE HEALTH AND WELLNESS LLC
Location Address617 E RIVERSIDE DR STE 104St George, UT 84790-8720
Mailing Address617 E Riverside Dr Ste 104St George, UT 84790-8720 · (801) 638-7826
Organization SubpartNo
Authorized OfficialAj YergensenAdmin · (435) 986-9369
Enumeration DateJanuary 19, 2023
NPPES CertifiedJanuary 19, 2023
NPI 1003521485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
617 E RIVERSIDE DR STE 104, St George, UT 84790

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
617 E RIVERSIDE DR STE 104
ST GEORGE, UT 84790
Pharmacist
617 E RIVERSIDE DR STE 104
ST GEORGE, UT 84790
Physician Assistant
617 E RIVERSIDE DR STE 104
ST GEORGE, UT 84790
Pharmacy Technician
617 E RIVERSIDE DR STE 104
ST GEORGE, UT 84790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pure Life Health And Wellness LLC's NPI number?

The NPI number for Pure Life Health And Wellness LLC is 1003521485. It was assigned to this organization in the NPPES registry on January 19, 2023.

Where is Pure Life Health And Wellness LLC located?

Pure Life Health And Wellness LLC is located at 617 E Riverside Dr Ste 104, St George, UT 84790. The listed phone number is (801) 638-7826.

What is Pure Life Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Pure Life Health And Wellness LLC was last updated on January 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.