Organization Active NPI

Greater Health of Northern Utah

  • Clinical Social Worker
  • Ogden, UT
National Provider Identifier
1013717867
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GREATER HEALTH OF NORTHERN UTAH
Practice address
2650 Washington Blvd Ste 210
Ogden, UT 84401-3623
Phone
(801) 833-2218
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Whitney Pace
Title
Claims Manager
Phone
(801) 657-8270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2650 Washington Blvd Ste 210
Ogden, UT 84401-3623

Mailing address

2650 Washington Blvd Ste 210
Ogden, UT 84401-3623
Phone (801) 833-2218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250723000639 UT Part B Supplier - Clinic/Group Practice 9638685951 Receives reassigned benefits from 1 practitioner
Practice locations: Ogden, UT

National Provider Directory

National Provider Directory

Locations

2650 Washington Blvd
Ste 210
Ogden, UT 84401
Phone (801) 833-2218

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1013717867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 WASHINGTON BLVD STE 210",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013623",
            "telephone_number": "801-833-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 WASHINGTON BLVD STE 210",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844013623",
            "telephone_number": "801-833-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HEALTH OF NORTHERN UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "CLAIMS MANAGER",
        "authorized_official_telephone_number": "801-657-8270"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.