CHRIS BODMER NPI 1437609039

NPI Information

NPI: 1437609039
Provider Name: CHRIS BODMER
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Individual
Address:
330 E 400 S STE 2
SPRINGVILLE, UT
ZIP 84663
Phone: (801) 834-1025
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Chris Bodmer is a community based residential treatment facility mental illness in Springville, UT. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. Chris Bodmer NPI is 1437609039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

330 E 400 S STE 2
SPRINGVILLE, UT
ZIP 84663-082
Phone: (801) 834-1025

The enumeration date for this NPI number is 10/6/2016 and was last updated on 10/6/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

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

NPI Synchronization or Removal

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