Four Corners Community Behavioral Health, Inc.

Key facts

NPI

1588694277

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

License

11672 (UT)

Legal business name

FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH, INC.

Practice address

690 E Main St
Price, UT 84501-3166

Phone

(435) 637-7200

Fax

(435) 637-2377

NPI assigned

Jul 5, 2006

Organization subpart

No

Authorized official

Name

Melissa Huntington, CMHC

Title

Executive Director

Phone

(435) 613-2179

Corporate family (same tax ID) 1

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

• Four Corners Community Behavioral Health Inc Methadone Clinic · Price, UT · NPI 1164048492
  NPD tax ID

National Provider Directory

Tax ID family

Four Corners Com Behavi (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

Other names

• Four Corners Behavioral Health Other name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 19, 2021.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1588694277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845010867",
            "telephone_number": "435-637-7200",
            "fax_number": "435-637-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E MAIN ST",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845013166",
            "telephone_number": "435-637-7200",
            "fax_number": "435-637-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "HUNTINGTON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-613-2179",
        "authorized_official_credential": "CMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "11672",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Credible",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "690 E Main St",
            "city": "Price",
            "state": "UT",
            "country_code": "US",
            "postal_code": "845013166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Four Corners Behavioral Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Four Corners Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Price, UT

• Sara Flannery, SLP
• Vance B. Fonnesbeck, D.D.S.
• Michaela Fossat, RN
• Four Corners Community Behavioral Health Inc
• Four Corners Community Behavioral Health, Inc.
• Kelli Fowles, PHARMD, RPH
• Mark A Frazier, MD
• Rachel Ashley Freeman
• Alaena Fryer
• Deanna Fulcher

All providers in Price, UT · Community/Behavioral Health Agency in Utah