NPIMap

Organization Active NPI

Copper Sage Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Bluffdale, UT
National Provider Identifier
1073046728
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
50624 Issued in UT
Legal business name
COPPER SAGE RECOVERY CENTER
Practice address
14014 S 2200 W
Bluffdale, UT 84065-5325
Phone
(801) 455-4167
NPI assigned
Apr 10, 2017
Last updated
Apr 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Craig Woolston
Title
Business Director
Phone
(801) 455-4167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 50624 UT Primary

Addresses

Primary practice location

14014 S 2200 W
Bluffdale, UT 84065-5325

Mailing address

14014 S 2200 W
Bluffdale, UT 84065-5325
Phone (801) 455-4167

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1073046728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14014 S 2200 W",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840655325",
            "telephone_number": "801-455-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14014 S 2200 W",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840655325",
            "telephone_number": "801-455-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER SAGE RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "WOOLSTON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "801-455-4167"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "50624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffdale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.