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ALLIANCE HOUSE INC NPI 1033585765


NPI Information

NPI: 1033585765
Provider Name: ALLIANCE HOUSE INC

Doing Business As: ALLIANCE HOUSE

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 46D2212802

Address:
1724 S MAIN ST
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 486-5012
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ALLIANCE HOUSE INC is an adult mental health clinic center in Salt Lake City, UT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ALLIANCE HOUSE INC NPI is 1033585765. The provider is registered as an organization entity type.
The provider Is Doing Business As Alliance House.

The provider's business location address is:

1724 S MAIN ST
SALT LAKE CITY, UT
ZIP 84115-912
Phone: (801) 486-5012

The provider's authorized official is Paige Huff .
The authorized official title is Executive Director and has the following contact phone number (801) 486-5012.

The CLIA number assigned to this NPI record is 46D2212802 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2015 and was last updated on 4/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11033585765MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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