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FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH INC NPI 1164048492


NPI Information

NPI: 1164048492
Provider Name: FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH INC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
77 S 600 E
PRICE, UT
ZIP 84501
Phone: (435) 637-7289
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FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH INC is a methadone clinic center in Price, UT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH INC NPI is 1164048492. The provider is registered as an organization entity type.

The provider's business location address is:

77 S 600 E
PRICE, UT
ZIP 84501-174
Phone: (435) 637-7289

The provider's authorized official is Jeanie Willson .
The authorized official title is Cfo and has the following contact phone number (435) 637-7200.

The enumeration date for this NPI number is 6/23/2020 and was last updated on 6/23/2020.


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
1251S00000XCommunity/Behavioral HealthNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
33336C0002XPharmacyClinic PharmacyNo
4261QM2800XClinic/CenterMethadoneYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.