NPIMap

Organization Active NPI

Box Elder Family Support Center

  • Community/Behavioral Health Agency
  • Brigham City, UT
National Provider Identifier
1285922088
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
18217 Issued in UT
Legal business name
BOX ELDER FAMILY SUPPORT CENTER
Practice address
276 N 200 E
Brigham City, UT 84302-2137
Phone
(435) 723-6010
Fax
(435) 723-7539
NPI assigned
Jul 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Katy Bonds, L.C.S.W.
Title
Director
Phone
(435) 723-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 18217 UT Primary

Addresses

Primary practice location

276 N 200 E
Brigham City, UT 84302-2137

Mailing address

276 N 200 E
Brigham City, UT 84302-2137
Phone (435) 723-6010

National Provider Directory

National Provider Directory

Locations

276 N 200 E
Brigham City, UT 84302
Phone (435) 723-6010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1285922088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 N 200 E",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022137",
            "telephone_number": "435-723-6010",
            "fax_number": "435-723-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 N 200 E",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022137",
            "telephone_number": "435-723-6010",
            "fax_number": "435-723-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOX ELDER FAMILY SUPPORT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "BONDS",
        "authorized_official_first_name": "KATY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "435-723-6010",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "18217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.