Summit County Early Intervention

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

251C00000X Issued in UT

Legal business name

SUMMIT COUNTY EARLY INTERVENTION

Practice address

6505 Landmark Dr
Park City, UT 84098-5999

Phone

(435) 615-3925

Fax

(435) 615-3926

NPI assigned

Aug 1, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suesanneb O Bond, BSECE

Title

Director

Phone

(435) 615-3925

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Summit City Hospital ER3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• County of Summit

  dba South Summit Ambulance

  • Land Ambulance
  • Kamas, UT
  • NPI 1144259805
  NPD tax ID
• County of Summit

  dba North Summit Ambulance

  • Land Ambulance
  • Park City, UT
  • NPI 1164451985
  NPD tax ID

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508872177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 LANDMARK DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985999",
            "telephone_number": "435-615-3925",
            "fax_number": "435-615-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 LANDMARK DR",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840985999",
            "telephone_number": "435-615-3925",
            "fax_number": "435-615-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT COUNTY EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "SUESANNEB",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "435-615-3925",
        "authorized_official_credential": "BSECE"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "UT",
            "license": "251C00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251C00000X",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Stoner, D.O.
• Tarah Rachele Stowell, L.C.S.W.
• Successware LLC (The Pharmacie)
• Jessica Sullenberger
• Summit County Clubhouse
• Summit Sports Performance and Rehab Center, PLLC
• Jeffrey Rex Sumsion, DMD, MS
• Sundance Counseling LLC
• Pamela L Sunshine, PA-C
• David Rick Sutherland, MD

• Public Health or Welfare Agency in Park City, UT
• Providers in Park City, UT by specialty
• Public Health or Welfare Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.