NAUTILUS RECOVERYGROUP SALT LAKE CITY INC NPI 1437706801

NPI Information

NPI: 1437706801
Provider Name: NAUTILUS RECOVERYGROUP SALT LAKE CITY INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
5691 S TROWBRIDGE WAY
SALT LAKE CITY, UT
ZIP 84118
Phone: (310) 795-4066
Get Directions

NAUTILUS RECOVERYGROUP SALT LAKE CITY INC is a rehabilitation and substance use disorder clinic center in Salt Lake City, UT. NAUTILUS RECOVERYGROUP SALT LAKE CITY INC NPI is 1437706801. The provider is registered as an organization entity type.

The provider's business location address is:

5691 S TROWBRIDGE WAY
SALT LAKE CITY, UT
ZIP 84118-113
Phone: (310) 795-4066

The provider's authorized official is Jason Shoemaker .
The authorized official title is Owner and has the following contact phone number (310) 795-4066.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 8/21/2019.

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	177F00000X	Lodging				No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			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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