Blue Hills Residential Treatment
Organization Active NPI Substance Abuse Rehabilitation Facility · Moroni, UT
NPI 1770960411 · NPPES record last updated May 1, 2015
Key facts
- NPI
- 1770960411
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- BLUE HILLS RESIDENTIAL TREATMENT
- Practice address
- 21360 N 1450 E
Moroni, UT 84646-0461 - Phone
- (435) 445-5200
- Fax
- (435) 445-5201
- NPI assigned
- May 1, 2015
- Organization subpart
- No
Authorized official
- Name
- Bruce Jenkins
- Title
- Line Staff/PRS Provider
- Phone
- (435) 445-5200
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Blue Hills Residential Treatment
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | UT | Yes |
Addresses
Primary practice location
21360 N 1450 E
Moroni, UT 84646-0461
Mailing address
21360 N 1450 E
Moroni, UT 84646-0461
Phone (435) 445-5200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235458555 | Medicaid | UT |
Other providers in Moroni, UT
- Colton Lamont Blackham
- Curtis Bryant Blackham
- Isaac Wayne Blount
- Blue Hills Residential Treatment
- Blue Hills Residential Treatment
- Tracy R Braithwaite
- Amy Ruth Brown
- Mackenzie J. Brown
- Tina Rebecca Carlson
- Keaton Cheney
All providers in Moroni, UT · Substance Abuse Rehabilitation Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2015. 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.