Cindy Kay Hansen

Individual provider Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Mount Pleasant, UT

NPI 1154056646 · NPPES record last updated Jul 19, 2022

Key facts

NPI
1154056646
Entity type
Individual (NPI type 1)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Practice address
265 N State St
Mount Pleasant, UT 84647-1108
Phone
(435) 462-2781
Fax
(435) 462-0155
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Matr, Inc. Past
since Jul 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X UT Yes

Addresses

Primary practice location

265 N State St
Mount Pleasant, UT 84647-1108

Mailing address

PO Box 31
Mount Pleasant, UT 84647-0031
Phone (435) 262-0695

Other identifiers

IdentifierTypeStateIssuer
261QR0405OtherUTMATR BEHAVIORAL HEALTH

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address matrinc@cut.net

Other providers in Mount Pleasant, UT

All providers in Mount Pleasant, UT · Substance Use Disorder Rehabilitation Clinic/Center in Utah

Sources for this page

Verify at the official NPI Registry.