Skull Valley Health Care

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SKULL VALLEY HEALTH CARE

Practice address

1929 N Aaron Dr
Tooele, UT 84074-8112

Phone

(435) 850-1823

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Jeremiah Golesh

Title

Director

Phone

(801) 455-2687

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1255943569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 N AARON DR",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840748112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 N AARON DR",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840748112",
            "telephone_number": "435-850-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKULL VALLEY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "GOLESH",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-455-2687"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Ann Sikochi, LCSW
• Kylie Silva
• Kristina Simons, LCSW
• Michael Sitton
• Annemarie Valley Skudlarek, ACMHC
• Skull Valley Health Clinic
• Skull Valley Health Clinic
• Sleep Better Tooele County LLC
• Caralyn Dee Sly
• Connor Wayne Sly

• Substance Use Disorder Rehabilitation Clinic/Center in Tooele, UT
• Providers in Tooele, UT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.