NPIMap

Organization Active NPI

Metro Treatment of Utah LP

Doing business as Logan Metro Treatment Center

  • Community/Behavioral Health Agency
  • Logan, UT
National Provider Identifier
1508072703
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
11675 Issued in UT
Legal business name
METRO TREATMENT OF UTAH LP
Doing business as
Logan Metro Treatment Center
Practice address
1300 N 200 E
Suite 104
Logan, UT 84341-2398
Phone
(435) 755-5915
Fax
(435) 775-5917
NPI assigned
May 15, 2007
Last updated
Sep 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
METRO TREATMENT OF UTAH LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Rodney Williams
Title
Cfo
Phone
(407) 351-7080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 5888583-1704 UT
Community/Behavioral Health Agency 251S00000X 11675 UT Primary

Addresses

Primary practice location

1300 N 200 E
Suite 104
Logan, UT 84341-2398

Mailing address

14050 Town Loop Blvd
Suite 204
Orlando, FL 32837-6190
Phone (407) 351-7080

Other names 1

  • Logan Metro Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Metro Treatment of Utah LP3 organizations share this tax ID, including this one
Part of
Metro Treatment of Utah LP

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1508072703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 TOWN LOOP BLVD",
            "address_2": "SUITE 204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376190",
            "telephone_number": "407-351-7080",
            "fax_number": "407-351-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 200 E",
            "address_2": "SUITE 104",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412398",
            "telephone_number": "435-755-5915",
            "fax_number": "435-775-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO TREATMENT OF UTAH LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METRO TREATMENT OF UTAH  LP",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "407-351-7080"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "UT",
            "license": "5888583-1704",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "11675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan Metro Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Logan Metro Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.