Blue Skies Recovery Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

3782 Issued in UT

Legal business name

BLUE SKIES RECOVERY CENTER

Practice address

727 24TH St
Suite 3
Ogden, UT 84401-2581

Phone

(801) 392-8900

Fax

(801) 394-5085

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Pam Jean Gramse

Title

Director

Phone

(801) 392-8900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1790195162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 762",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844020762",
            "telephone_number": "801-392-8900",
            "fax_number": "801-394-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 24TH ST",
            "address_2": "SUITE 3",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844012581",
            "telephone_number": "801-392-8900",
            "fax_number": "801-394-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "GRAMSE",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-392-8900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "UT",
            "license": "3782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Blea
• James Aaron Bledsoe, DO
• Bliv Wellness LLC
• Robert Ray Blocker, M.D.
• Charlene Holbrook Blood, APRN
• Amy Blunck, CMHC
• Shelby Boam
• Stephanie Marie Bobka, FNP-C
• Peggy Maria Bodamer, RN
• Jessica Bodily, MOT, OTR/L

• Substance Use Disorder Rehabilitation Clinic/Center in Ogden, UT
• Providers in Ogden, UT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.