ALPINE RECOVERY LODGE LLC (NPI# 1033452974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033452974 |
| Entity Type | Organization |
| Organization Name | ALPINE RECOVERY LODGE LLC |
| Practice Address |
1018 E Oakhill Dr Alpine UT 84004-1733 |
| Mailing Address |
5406 W 11000 N Suite 103-429 Highland UT 84003-8942 |
| Practice Telephone | 8774154060 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2017-04-17 |
| Authorized Official Name | MRS. AMY N ROTHERMEL (CFO) |
| Authorized Official Telephone | 8774154060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033450275 | Alpine Recovery Lodge LLC | Substance Abuse Rehabilitation Facility | 1018 E Oakhill Dr, Alpine, UT 84004-1733 | 2013-03-13 |
| Street Address |
1018 E OAKHILL DR |
| City | ALPINE |
| State | UT |
| Zip Code | 84004-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326254731 | Kevin V Knutson | Counselor | 1018 E Oakhill Dr, Alpine, UT 84004-1733 | 2007-05-15 |
| 1033450275 | Alpine Recovery Lodge LLC | Substance Abuse Rehabilitation Facility | 1018 E Oakhill Dr, Alpine, UT 84004-1733 | 2013-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003148404 | Virgil Jon Parker | Internal Medicine | 646 W 600 N, Alpine, UT 84004 | 2010-02-10 |
| 1245302751 | Garon E Larsen | Dentist | 70 West Canyon Crest Road, Alpine, UT 84004 | 2006-11-14 |
| 1093801151 | Mitchell D Albrecht | Anesthesiology | 1034 N 500 W, Provo, UT 84004 | 2006-10-05 |
| 1790187847 | Stephanie Gross | Acupuncturist | 1034 Moyle Dr, Alpine, UT 84004-1206 | 2014-09-19 |
| 1639341829 | Michael D Rosvall | Dentist | 578 Grove Cir, Alpine, UT 84004-1210 | 2008-03-27 |
| 1669794806 | Vernon C. Utley | Social Worker | 646 N 610 E, Alpine, UT 84004-1220 | 2010-02-15 |
| 1568792760 | David Lawrence Scott | Pediatrics | 424 Aspen Ridge Ln, Alpine, UT 84004-1223 | 2010-01-11 |
| 1700403995 | Amber Astle | Physician Assistant | 782 Canterbury Ln, Alpine, UT 84004-1255 | 2020-07-03 |
| 1528452125 | James H Cloyd, Phd, LLC | Psychologist | 758 Canterbury Ln, Alpine, UT 84004-1255 | 2015-03-23 |
| 1407405384 | Felicity Kaden Mills | Behavior Technician | 587 Hillside Dr, Alpine, UT 84004-1355 | 2019-09-04 |
| Find all providers in zip 84004 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033450275 | Alpine Recovery Lodge LLC | Substance Abuse Rehabilitation Facility | 1018 E Oakhill Dr, Alpine, UT 84004-1733 | 2013-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
| 1891307104 | Steps Recovery Center | Substance Abuse Rehabilitation Facility | 345 E 4500 S # 100-140, Murray, UT 84107-3991 | 2020-08-18 |
| 1104460666 | Active Recovery, LLC | Substance Abuse Rehabilitation Facility | 25 S Main St # 212, Centerville, UT 84014-1840 | 2019-10-28 |
| 1437709441 | Insight Recovery Cedar City, LLC | Substance Abuse Rehabilitation Facility | 1050 W Old Highway 91, Parowan, UT 84761-7725 | 2019-09-12 |
| 1316506470 | Evnsq, LLC | Substance Abuse Rehabilitation Facility | 5162 S Highland Dr, Holladay, UT 84117-7048 | 2019-06-11 |
| 1114584356 | Juniper Canyon Recovery Center for Women, LLC | Substance Abuse Rehabilitation Facility | 520 North Aspen Road, Loa, UT 84747-8474 | 2019-05-23 |
| 1750948030 | Liberty Addiction Recovery Centers LLC | Substance Abuse Rehabilitation Facility | 10458 N 6570 W, Highland, UT 84003-9311 | 2019-05-22 |
| 1235793290 | Mountain Valley Recovery LLC | Substance Abuse Rehabilitation Facility | 9431 N 400 W, Holden, UT 84636 | 2019-04-25 |
| 1346803525 | Brookstone Foundation | Substance Abuse Rehabilitation Facility | 198 N 100 E # 198n100e, St George, UT 84770-2831 | 2019-04-15 |
| 1639649684 | Sterling Recovery | Substance Abuse Rehabilitation Facility | 525 W 465 N Ste 130, Providence, UT 84332-5604 | 2018-12-03 |
| 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.