Provider Demographics
NPI:1144011248
Name:THRIVE EECP
Entity type:Organization
Organization Name:THRIVE EECP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PROCESSES MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:JUEL
Authorized Official - Last Name:PAINTER
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CMA
Authorized Official - Phone:801-831-3666
Mailing Address - Street 1:1111 E DRAPER PKWY STE 118
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-9179
Mailing Address - Country:US
Mailing Address - Phone:385-330-0358
Mailing Address - Fax:801-996-6024
Practice Address - Street 1:1111 E DRAPER PKWY STE 118
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-9179
Practice Address - Country:US
Practice Address - Phone:385-330-0358
Practice Address - Fax:801-996-6024
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREMIER VASCULAR SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-16
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities