Damon Keith Anderson
Individual provider Active NPI Foster Care Agency · Brigham City, UT
NPI 1598034266 · NPPES record last updated Dec 23, 2011
Key facts
- NPI
- 1598034266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foster Care Agency 253J00000X
- Practice address
- 862 S Main St
Brigham City, UT 84302-3320 - Phone
- (435) 723-1799
- NPI assigned
- Dec 23, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youthtrack, Inc | Foster Care Agency | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | Yes |
Addresses
Primary practice location
862 S Main St
Brigham City, UT 84302-3320
Mailing address
862 S Main St
Brigham City, UT 84302-3320
Other providers in Brigham City, UT
- Alpine Management and Consulting
- Alpine Transitional Rehabilitation
- Anavah Recovery LLC
- Marc Weston Andersen
- William Clark Andersen
- Gracie Anderson
- Jessica Anderson
- Layne Andrews
- Courtnie Angeli
- Babyliz Apaui-Lane
All providers in Brigham City, UT · Foster Care Agency in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.