Olympus Drug and Alchol Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

8266 Issued in UT

Legal business name

OLYMPUS DRUG AND ALCHOL RECOVERY

Doing business as

The Pines

Practice address

425 Moulton LN
Heber City, UT 84032-3843

Phone

(801) 608-4557

NPI assigned

Jul 10, 2014

Organization subpart

No

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

Authorized official

Name

Duane Michael Conner

Title

Owner

Phone

(801) 608-4557

Specialties & licenses 1

Addresses

Other names 1

• The Pines Doing business as

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1750797619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 S CANYON COVE DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216337",
            "telephone_number": "801-608-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MOULTON LN",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323843",
            "telephone_number": "801-608-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS DRUG AND ALCHOL RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-608-4557"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "8266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Noonan, M.D.
• Ruth Annette Norlen, R.N.
• Andrew Aaron Nyberg, M.D.
• Morgan Oliver
• Gordon S Olsen, DOPC
• One Cascade Development LLC (Cascade Home)
• Pamela Testi LMFT LLC
• Lindsay Parker, OD
• Peak Behavioral Services LLC
• Karen Peavy

• Substance Abuse Rehabilitation Facility in Heber City, UT
• Providers in Heber City, UT by specialty
• Substance Abuse Rehabilitation Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.