METAMORPHOSIS OGDEN, INC. (NPI# 1295804110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295804110 |
| Entity Type | Organization |
| Organization Name | METAMORPHOSIS OGDEN, INC. |
| Practice Address |
2144 Washington Blvd Ogden UT 84401-1420 |
| Mailing Address |
2557 Lincoln Avenue Ogden UT 84401 |
| Practice Telephone | 8016225272 |
| Mailing Telephone | 8016225272 |
| Mailing Fax Number | 8016225256 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-08-06 |
| Authorized Official Name | MS. SHANNON M. TERWEDO (PRESIDENT) |
| Authorized Official Telephone | 8016225272 |
| Authorized Official Credential | M.P.A., FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
6264391-8913 | UT | Ambulatory Health Care Facilities |
| Street Address |
2144 WASHINGTON BLVD |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170528 | Baymark Health Services of Utah, Inc. | Clinic/Center | 2557 Lincoln Ave, Ogden, UT 84401-1307 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578685897 | Discovery House Tv, Inc. | Clinic/Center | 5983 S Redwood Rd, Taylorsville, UT 84123-5261 | 2007-04-06 |
| 1306829122 | Discovery House Utah, Inc. | Clinic/Center | 449 E 2100 S, Salt Lake City, UT 84115-2237 | 2005-11-25 |
| 1710453352 | Baymark Health Services of Utah, Inc. | Clinic/Center | 164 E 5900 S, Salt Lake City, UT 84107-7256 | 2018-10-22 |
| 1407367345 | Hautoa Enterprises LLC | Clinic/Center | 234 N Orem Blvd, Orem, UT 84057-6601 | 2017-10-18 |
| 1649561598 | Project Reality | Clinic/Center | 150 E 700 S, Salt Lake City, UT 84111-3806 | 2011-04-27 |
| 1346495298 | Metamorphosis Salt Lake City, Inc. | Clinic/Center | 339 E 3900 S, Suite 101, Salt Lake City, UT 84107-1677 | 2008-11-19 |
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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.