NPIMap

Organization Active NPI

Bridge House

  • Psychiatric Residential Treatment Facility
  • Farmington, UT
National Provider Identifier
1174051072
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
39298 Issued in UT
Legal business name
BRIDGE HOUSE
Practice address
235 S 200 E
Farmington, UT 84025-2320
Phone
(801) 447-4865
Fax
(801) 713-4400
NPI assigned
May 23, 2017
Last updated
May 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Authorized official

Name
Rodney Andrus
Title
Executive Director
Phone
(801) 447-4865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 39298 UT Primary

Addresses

Primary practice location

235 S 200 E
Farmington, UT 84025-2320

Mailing address

PO Box 1040
Farmington, UT 84025-1040
Phone (801) 447-4865

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2209388Bridge House235 South 200 East, Farmington, UT 84025Certificate of waiverJan 12, 2027

National Provider Directory

National Provider Directory

Locations

235 S 200 E
Farmington, UT 84025
Phone (801) 447-4865

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1174051072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1040",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840251040",
            "telephone_number": "801-447-4865",
            "fax_number": "801-713-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S 200 E",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252320",
            "telephone_number": "801-447-4865",
            "fax_number": "801-713-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "ANDRUS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-447-4865"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "39298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.