Active NPI
Terri Butcher
- Children's Substance Abuse Rehabilitation Facility
- Ephriam, UT
National Provider Identifier
1821382318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Substance Abuse Rehabilitation Facility
- Practice address
- 66 North 180 West
Ephriam, UT 84627-1111 - Phone
- (435) 283-0164
- Fax
- (435) 283-2213
- NPI assigned
- Jun 2, 2011
- Last updated
- Jun 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | NU | Primary |
Addresses
Primary practice location
66 North 180 West
Ephriam, UT 84627-1111
Mailing address
66 North 180 West
Ephriam, UT 84627-1111
Phone (435) 283-0164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Women's Empowerment Center Long Term 3 | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Illness Community Based Residential Treatment Facility
- Ephraim, UT
- NPI 1245548742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1821382318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 NORTH 180 WEST",
"city": "EPHRIAM",
"state": "UT",
"postal_code": "846271111",
"telephone_number": "435-283-0164",
"fax_number": "435-283-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 NORTH 180 WEST",
"city": "EPHRIAM",
"state": "UT",
"postal_code": "846271111",
"telephone_number": "435-283-0164",
"fax_number": "435-283-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER",
"first_name": "TERRI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ephriam, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.