NPIMap

Organization Active NPI

Catholic Community Services of Utah

  • Substance Use Disorder Rehabilitation Clinic/Center
  • SLC, UT
National Provider Identifier
1407949357
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
N10601 Issued in UT
Legal business name
CATHOLIC COMMUNITY SERVICES OF UTAH
Practice address
250 E Broadway
Suite 380
SLC, UT 84111-2418
Phone
(801) 977-9119
Fax
(801) 977-8227
NPI assigned
Oct 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Maggie St. Claire
Title
Executive Director
Phone
(801) 977-9119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X N10601 UT Primary

Addresses

Primary practice location

250 E Broadway
Suite 380
SLC, UT 84111-2418

Mailing address

250 E Broadway
Suite 380
SLC, UT 84111-2418
Phone (801) 977-9119

National Provider Directory

National Provider Directory
Tax ID family
Catholic Community Services of Utah2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407949357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E BROADWAY",
            "address_2": "SUITE 380",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841112418",
            "telephone_number": "801-977-9119",
            "fax_number": "801-977-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E BROADWAY",
            "address_2": "SUITE 380",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841112418",
            "telephone_number": "801-977-9119",
            "fax_number": "801-977-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICES OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ST. CLAIRE",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-977-9119",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": "N10601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in SLC, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.