NPIMap

Organization Active NPI

Ute Tribe Alcohol/Substance Abuse Prevention

  • Community/Behavioral Health Agency
  • Fort Duchesne, UT
National Provider Identifier
1225401763
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UTE TRIBE ALCOHOL/SUBSTANCE ABUSE PREVENTION
Practice address
550 South 6777 East
Fort Duchesne, UT 84026
Phone
(435) 722-3234
NPI assigned
Nov 5, 2015
Last updated
Nov 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Anthony Guzman, LCSW
Title
Program Director
Phone
(435) 722-3234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

550 South 6777 East
Fort Duchesne, UT 84026

Mailing address

550 South 6777 East
P.O.Box 369
Fort Duchesne, UT 84026
Phone (435) 722-3234

National Provider Directory

National Provider Directory
Tax ID family
Ute Indian Tribe3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1225401763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SOUTH 6777 EAST",
            "address_2": "P.O.BOX 369",
            "city": "FORT DUCHESNE",
            "state": "UT",
            "postal_code": "84026",
            "telephone_number": "435-722-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SOUTH 6777 EAST",
            "city": "FORT DUCHESNE",
            "state": "UT",
            "postal_code": "84026",
            "telephone_number": "435-722-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTE TRIBE ALCOHOL/SUBSTANCE ABUSE PREVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "435-722-3234",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Duchesne, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.