NPIMap

Organization Active NPI

The Bridge Wellness Center, LLC

  • Psychiatric Residential Treatment Facility
  • Rockville, UT
National Provider Identifier
1821233156
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
14803 Issued in UT
Legal business name
THE BRIDGE WELLNESS CENTER, LLC
Practice address
991 W 230 S
Rockville, UT 84763
Phone
(435) 772-0513
Fax
(435) 772-0104
NPI assigned
Dec 16, 2008
Last updated
Dec 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Mrs. Cheri Diane Montee
Title
Biller
Phone
(435) 772-0513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 14803 UT Primary

Addresses

Primary practice location

991 W 230 S
Rockville, UT 84763

Mailing address

106404 S 293 PR SW
Prosser, WA 99350-9415
Phone (541) 571-0214

Other names 1

  • D&K Sunset Investments LLC MBR Former legal business name

National Provider Directory

National Provider Directory

Locations

106404 S 293 Pr SW
Prosser, WA 99350

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1821233156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106404 S 293 PR SW",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993509415",
            "telephone_number": "541-571-0214",
            "fax_number": "509-786-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 W 230 S",
            "city": "ROCKVILLE",
            "state": "UT",
            "postal_code": "84763",
            "telephone_number": "435-772-0513",
            "fax_number": "435-772-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRIDGE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "MONTEE",
        "authorized_official_first_name": "CHERI",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "435-772-0513",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "14803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D&K Sunset Investments LLC MBR",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rockville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.