BRIGHTON RECOVERY CENTER INTENSIVE OUTPATIENT LLC (NPI# 1326563032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326563032 |
Entity Type | Organization |
Organization Name | BRIGHTON RECOVERY CENTER INTENSIVE OUTPATIENT LLC |
Practice Address |
5677 S 1475 E South Ogden UT 84403-7032 |
Mailing Address |
1265 E Fort Union Blvd Ste 140 Midvale UT 84047-1808 |
Practice Telephone | 8018490486 |
Mailing Telephone | 8018490453 |
Enumeration Date | 2017-08-03 |
Last Update Date | 2020-06-26 |
Authorized Official Name | JONATHAN SAUL (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8018490453 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
UT | Ambulatory Health Care Facilities |
Street Address |
5677 S 1475 E |
City | SOUTH OGDEN |
State | UT |
Zip Code | 84403-7032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790113892 | Lance Albrechtsen | Dentist | 5677 S 1475 E, South Ogden, UT 84403-7032 | 2013-10-29 |
1720379555 | Lance A. Albrechtsen, Dds, Ms, Inc. | Dentist | 5677 S 1475 E, Suite 2a, South Ogden, UT 84403-7032 | 2011-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
Find all providers in zip 84403 |
Taxonomy Code | 261QR0401X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174858823 | Therapeutic Wellness Center | Clinic/Center | 5974 Fashion Point Dr, Suite 100, South Ogden, UT 84403-4699 | 2009-10-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144866740 | Team Recovery | Clinic/Center | 2600 N Main St Ste 204, North Logan, UT 84341-1510 | 2019-11-19 |
1285113472 | North Star Center, LLC. | Clinic/Center | 254 S State St Bldg A, La Verkin, UT 84745-5633 | 2018-08-09 |
1821512583 | North Star Center, LLC. | Clinic/Center | 254 S State St Ste A, La Verkin, UT 84745-5633 | 2017-08-02 |
1194260810 | Brc Outpatient LLC | Clinic/Center | 4905 S 900 E, Salt Lake City, UT 84117-5703 | 2017-01-04 |
1023481991 | Life Rehabilitation, Lc | Clinic/Center | 8134 S Summit Valley Dr, West Jordan, UT 84088-5930 | 2015-11-02 |
1780066902 | Farrington Health Care LLC | Clinic/Center | 7309 South 180 West, Midvale, UT 84047-1020 | 2015-06-24 |
1730630203 | Clinical Consultants LLC | Clinic/Center | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2016-10-20 |
1528418589 | Edge Medical Services | Clinic/Center | 770 E South Temple Ste 100, Salt Lake City, UT 84102-1689 | 2016-06-20 |
1417399957 | Paramount Healthcare, LLC | Clinic/Center | 3540 S Main St, Salt Lake City, UT 84115-4435 | 2013-07-25 |
1851533947 | Precision Health Services | Clinic/Center | 4885 S 900 E, Suite 107, Salt Lake City, UT 84117-5746 | 2009-04-03 |
Find all providers with the same taxonomy |
City | SOUTH OGDEN |
Zip Code | 84403 |
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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.