NPIMap

Organization Active NPI

Young Women's Empowerment Center Long Term 3

  • Mental Illness Community Based Residential Treatment Facility
  • Ephraim, UT
National Provider Identifier
1245548742
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
16462 Issued in UT
Legal business name
YOUNG WOMEN'S EMPOWERMENT CENTER LONG TERM 3
Practice address
66 N. 180 W.
Ephraim, UT 84627
Phone
(435) 283-0164
Fax
(435) 283-2213
NPI assigned
Sep 17, 2010
Last updated
Sep 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Ms. Marilyn Jensen, LSAC
Title
Executive Director
Phone
(435) 283-0164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 16462 UT Primary

Addresses

Primary practice location

66 N. 180 W.
Ephraim, UT 84627

Mailing address

66 N.181 W.
Ephraim, UT 84627
Phone (435) 283-0164

National Provider Directory

National Provider Directory
Tax ID family
Young Women's Empowemen Center Long Term 15 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1245548742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 N.181 W.",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "84627",
            "telephone_number": "435-283-0164",
            "fax_number": "435-283-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 N. 180 W.",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "84627",
            "telephone_number": "435-283-0164",
            "fax_number": "435-283-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG WOMEN'S EMPOWERMENT CENTER LONG TERM 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-283-0164",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSAC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "UT",
            "license": "16462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephraim, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.