ODYSSEY HOUSE INC. (NPI# 1033143706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033143706 |
Entity Type | Organization |
Organization Name | ODYSSEY HOUSE INC. |
Practice Address |
340 E 100 S Salt Lake City UT 84111-1702 |
Mailing Address |
344 E 100 S Ste 301 Salt Lake City UT 84111-1727 |
Practice Telephone | 8014283500 |
Practice Fax Number | 8013222831 |
Mailing Telephone | 8013224257 |
Mailing Fax Number | 8013222831 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2013-05-21 |
Authorized Official Name | EMILY LEWIS (DIRECTOR OF BUSINESS OPERATIONS) |
Authorized Official Telephone | 8014283487 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
11273 | UT | Ambulatory Health Care Facilities |
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
163407-1205 | UT | Ambulatory Health Care Facilities |
Street Address |
340 E 100 S |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84111-1702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730788084 | Braden Price | Case Manager/Care Coordinator | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2020-10-19 |
1316500754 | Chloe Lorraine Maddox | Case Manager/Care Coordinator | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2019-04-22 |
1922573633 | Stephanie Wheatley | Nurse Practitioner | 340 E 100 S, Salt Lake City, UT 84111-1836 | 2018-10-09 |
1750829743 | Krista Eger | Community Health Worker | 340 E 100 S, Ste 301, Salt Lake City, UT 84111-1702 | 2017-02-09 |
1164856886 | Chad Ryan Rebo | Physician Assistant | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2013-08-29 |
1356612790 | Myles Davis | Counselor | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2012-01-17 |
1780960153 | Robert Price | Counselor | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2011-10-28 |
1538477187 | Bradley Pedersen | Counselor | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2010-09-16 |
1164739454 | Hayley L Mcmillan | Counselor | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2010-09-08 |
1588985238 | Odyssey House of Utah | Substance Abuse Rehabilitation Facility | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2010-06-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
1790396554 | Stephanie G Mishenko | Military Health Care Provider | 344e 100s, Slc, UT 84111 | 2020-08-13 |
1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
1316421761 | Community Health Centers, Inc. | Social Worker | 610 S 200 E Ste #b, Salt Lake City, UT 84111 | 2018-09-21 |
1528545506 | Lauren Brittney Harman | Case Manager/Care Coordinator | 344 E. 100 S., Salt Lake City, UT 84111 | 2018-07-23 |
1851896484 | Shivani Chowdhary | Dentist | 370 E South Temple Ste 350, Salt Lake City, UT 84111 | 2018-03-26 |
1801390661 | Jaylee Marie Watman | Case Manager/Care Coordinator | 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 | 2018-03-19 |
1467963918 | Victoira Julia Graham | Case Management | 344 East 100 South Ste 301, Salt Lake City, UT 84111 | 2017-10-23 |
1750805404 | Kayla Hymas | Behavioral Analyst | 243 E. 400 S., Slc, UT 84111 | 2017-08-02 |
1134643224 | Julie Peaslee | Counselor | 275 E South Temple Ste 110, Salt Lake City, UT 84111 | 2017-07-31 |
Find all providers in zip 84111 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760033443 | Careatc | Clinic/Center | 669 W 200 S, Salt Lake City, UT 84101-1014 | 2019-09-24 |
1174006605 | Bristol Palliative Care Services, L.L.C. | Clinic/Center | 3216 S Highland Dr Ste 100, Salt Lake City, UT 84106-4196 | 2018-09-11 |
1053764431 | Olympus Family Medicine | Clinic/Center | 4624 S Holladay Blvd Ste 100, Salt Lake City, UT 84117-7054 | 2016-07-20 |
1467830919 | Mary M. Martineau | Clinic/Center | 335 E 2nd Ave Apt A, Salt Lake City, UT 84103-2626 | 2015-05-15 |
1316117344 | Avenues To Health, LLC | Clinic/Center | 223 W 700 S, Suite D, Salt Lake City, UT 84101-2718 | 2008-03-05 |
1487260550 | Doctors House Calls of Utah, LLC | Clinic/Center | 1250 E 3900 S Ste 440, Salt Lake City, UT 84124-1349 | 2020-09-23 |
1184093924 | Westech Wellness Center | Clinic/Center | 3605 S West Temple, Salt Lake City, UT 84115-4409 | 2015-09-23 |
1275940611 | Sunnyside Pediatrics | Clinic/Center | 1060 E 100 S, #400, Salt Lake City, UT 84102-1501 | 2014-07-17 |
1447667217 | Granger Medical Clinic, Inc. | Clinic/Center | 1250 E 3900 S, Suite 250, Salt Lake City, UT 84124-1348 | 2014-07-14 |
1821225079 | Sara A. Wells, M.d., A Professional Corporation | Clinic/Center | 2131 E 2100 S, Salt Lake City, UT 84109-1128 | 2009-06-15 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84111 |
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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.