NPIMap

Organization Active NPI

Warrior Spirit Recovery Center

  • Community/Behavioral Health Agency
  • Tooele, UT
National Provider Identifier
1629632450
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WARRIOR SPIRIT RECOVERY CENTER
Practice address
251 N 1St St
Tooele, UT 84074-2201
Phone
(435) 850-1823
NPI assigned
Apr 26, 2019
Organization subpart
Yes
Parent organization
SKULL VALLEY HEALTH CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Authorized official

Name
Bonnie Alexander
Title
Cfo
Phone
(801) 616-7715

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

251 N 1St St
Tooele, UT 84074-2201

Mailing address

9278 S 300 W
Sandy, UT 84070-1436

National Provider Directory

National Provider Directory
Tax ID family
Warrior Spirit Recovery Center3 organizations share this tax ID, including this one
Part of
Warrior Spirit Recovery Center

Other organizations with this tax ID 2

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

Locations

9278 S 300 W
Sandy, UT 84070

251 N 1st St
Tooele, UT 84074
Phone 4352285151 ext. 904

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1629632450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9278 S 300 W",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N 1ST ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840742201",
            "telephone_number": "435-850-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRIOR SPIRIT RECOVERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKULL VALLEY HEALTH CLINIC",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-616-7715"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.