CHRISTIAN CENTER OF PARK CITY (NPI# 1023627148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023627148 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN CENTER OF PARK CITY |
| Practice Address |
1283 Deer Valley Dr Park City UT 84060-5182 |
| Mailing Address |
Po Box 683480 Park City UT 84068-3480 |
| Practice Telephone | 4356492260 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Authorized Official Name | LEAH M HARTER (DIRECTOR OF COUNSELING) |
| Authorized Official Telephone | 4356492260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Counseling Center of Park City | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHRISTIAN CENTER OF PARK CITY | 1283 Deer Valley Dr, Park City, UT 84060-5182 |
| Street Address |
1283 DEER VALLEY DR |
| City | PARK CITY |
| State | UT |
| Zip Code | 84060-5182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891997276 | Kara Lynne Jensen | Counselor | 1283 Deer Valley Dr, Park City, UT 84060-5104 | 2007-06-05 |
| 1902456148 | Summit County Clubhouse | Counselor | 1283 Deer Valley Dr, Park City, UT 84060-5182 | 2019-09-19 |
| 1780240374 | Linsey Beth Broadbent | Registered Nurse | 1283 Deer Valley Dr, Park City, UT 84060-5182 | 2019-05-20 |
| 1891265245 | Lauren Hansen | Counselor | 1283 Deer Valley Dr, Park City, UT 84060-5182 | 2018-11-28 |
| 1912241233 | Katie J Noelck | Counselor | 1283 Deer Valley Dr, Park City, UT 84060-5182 | 2012-11-27 |
| 1851601769 | Melissa E Litwiller | Counselor | 1283 Deer Valley Dr, Park City, UT 84060-5104 | 2010-10-13 |
| 1134439276 | Pathways Counseling Center | Counselor | 1283 Deer Valley Dr, Park City, UT 84060-5104 | 2010-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233920 | Livecare, Inc. | Nursing Care | 1830 Prospector Avenue, Park City, UT 84060 | 2020-04-02 |
| 1063904266 | Louise Knetzger Gallagher | Acupuncturist | 1107 Woodside Ave, Park City, UT 84060 | 2018-06-04 |
| 1942753421 | Valerie Alison Mey | Dietitian, Registered | 2985 Arabian Dr, Park City, UT 84060 | 2016-08-01 |
| 1659720936 | Vibrant Health PC | Anesthesiology | 1910 Prospector Ave Suite 302, Park City, UT 84060 | 2016-06-08 |
| 1538538657 | Pamela Hilbert | Dentist | 1830 Prospector Ave., Park City, UT 84060 | 2015-09-18 |
| 1174904924 | Julie Anna Bullen | Counselor | 2300 Monitor Drive, Park City, UT 84060 | 2015-06-17 |
| 1265825319 | William Gary Smith | Obstetrics & Gynecology | 2501 Creek Drive, Park City, UT 84060 | 2015-03-13 |
| 1497026330 | Earl Warren Stadler Jr. | Physical Medicine & Rehabilitation | 1500 Three Kings Drive Unit 31, Park City, UT 84060 | 2012-01-24 |
| 1538454541 | Belinda Duncan | Pharmacist | 2700 E Deer Valley Dr B105, Park City, UT 84060 | 2011-06-17 |
| 1184888315 | Cody Michael Calderwood | Dentist | 1600 Snow Creek Dr Ste A, Park City, UT 84060 | 2008-07-16 |
| Find all providers in zip 84060 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1043810047 | Ora Counseling | Clinic/Center | 115 Golf Course Rd Ste A, Logan, UT 84321-5951 | 2020-10-28 |
| 1033744776 | Rising Summits | Clinic/Center | 11293 S Morning Tide Ln, South Jordan, UT 84009-5022 | 2020-03-03 |
| 1447899570 | First Choice Healing LLC | Clinic/Center | 1045 S Orem Blvd, Orem, UT 84058-6979 | 2020-01-06 |
| 1144868100 | Vive Care, LLC | Clinic/Center | 120 W 1470 S Ste A, Saint George, UT 84770-6798 | 2019-12-20 |
| 1851939250 | Imagine Counseling Services | Clinic/Center | 5663 S Redwood Rd Unit 2, Taylorsville, UT 84123-5449 | 2019-12-16 |
| 1811548589 | Insaneability | Clinic/Center | 2013 E Fielding Hill Ln, Draper, UT 84020-2505 | 2019-09-24 |
| 1083264907 | Hobble Creek Behavoral Health | Clinic/Center | 1291 Expressway Ln # L, Spanish Fork, UT 84660-1333 | 2019-09-12 |
| 1407403983 | Haven Recovery LLC | Clinic/Center | 1474 W 2100 N, Pleasant Grove, UT 84062-9508 | 2019-08-20 |
| 1386299287 | Intermountain Counseling Center | Clinic/Center | 35 N Main Street, Suite 200 B, Spring City, UT 84662 | 2019-08-07 |
| 1710532619 | Solstone, LLC | Clinic/Center | 1353 N 1075 W Ste 204, Farmington, UT 84025-2772 | 2019-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.