DEER HOLLOW OUTPATIENT SERVICES, LLC


Address: 12608 S 125 W Ste E, Draper, UT 84020-8437
Phone: 8018101119

DEER HOLLOW OUTPATIENT SERVICES, LLC (NPI# 1578917787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578917787
Entity Type Organization
Organization Name DEER HOLLOW OUTPATIENT SERVICES, LLC
Practice Address 12608 S 125 W Ste E
Draper
UT 84020-8437
Practice Telephone 8018101119
Practice Fax Number 8012039216
Mailing Telephone 8018101119
Mailing Fax Number 8012039216
Enumeration Date 2016-04-14
Last Update Date 2019-12-13
Authorized Official Name ERICA PETERSON (ADMINISTRATOR/DIRECTOR OF NURSING)
Authorized Official Telephone 8018101119
Authorized Official Credential BSN, RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 12608 S 125 W STE E
City DRAPER
State UT
Zip Code 84020-8437

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346860228 Sara Jean Sorenson Counselor 12608 S 125 W Ste E, Draper, UT 84020-8437 2020-04-21
1891284741 Robin Lynn O'dell Counselor 12608 S 125 W Ste E, Draper, UT 84020-8437 2018-05-07
1407365422 Monica L Rawlings Counselor 12608 S 125 W Ste E, Draper, UT 84020-8437 2017-09-21
1437690245 Shawn Mansell Social Worker 12608 S 125 W Ste E, Draper, UT 84020-8437 2017-03-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194322776 Chase Larsen Dmd Pllc Dentist 723 E 12200 S, Draper, UT 84020 2020-10-06
1780222380 Derek Cragun Counselor 11706 700 E, Draper, UT 84020 2019-12-13
1720629371 Own My Health Medical Clinic/Center 12371 900 E, Suite 102, Draper, UT 84020 2019-10-04
1508418856 Thomas Mifflin Physician Assistant 721 East 12200 South, Draper, UT 84020 2019-07-16
1124670872 Necia Dalley Registered Nurse 11800 S State St, Draper, UT 84020 2019-07-12
1285100784 Tracey M Williams Psychologist 13200 S 1601 E, Draper, UT 84020 2018-10-23
1275008328 Amoni Paeahelotu Finau Community Health Worker 13703 Wheatfield Way, Draper, UT 84020 2018-10-04
1891275525 Cynthia Mae Bolton Psychologist 1192 E Draper Parkway # 447, Draper, UT 84020 2018-08-21
1164908026 Headin' Home Inc. Community/Behavioral Health 12300 S. 150 W., Draper, UT 84020 2018-07-13
1366932576 Forest Hulet Dentist 219 E 12300, Ste I-5, Draper, UT 84020 2018-05-14
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1992343834 Avante Recovery Center, LLC Clinic/Center 848 E 1475 N, Lehi, UT 84043-3568 2019-12-11
1467912139 Infinite Arches LLC Clinic/Center 136 25th St, Ogden, UT 84401-1302 2019-03-20
1669952958 Utah Harm Reduction Coalition Clinic/Center 91 E 7200 S, Midvale, UT 84047-1531 2018-08-16
1871016840 Breakaway Recovery Center Murray, LLC Clinic/Center 5296 S Commerce Dr Ste 204, Murray, UT 84107-5393 2017-07-21
1528580180 Brighton House LLC Clinic/Center 2945 E Robidoux Rd, Sandy, UT 84093-1128 2017-07-14
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Competitor

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City DRAPER
Zip Code 84020

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Dataset Information

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.

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