Cold Creek Wellness Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

15305 Issued in UT

Legal business name

COLD CREEK WELLNESS CENTER

Practice address

845 W 200 N
Kaysville, UT 84037-2406

Phone

(801) 593-6777

NPI assigned

Jun 2, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Tyler Dallas

Title

Administrator

Phone

(801) 593-6777

Specialties & licenses 1

Addresses

Other names 1

• Cold Creek Behavioral Health Doing business as

Tax ID family

Cold Creek Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cold Creek Wellness Center

  • Substance Abuse Rehabilitation Facility
  • Brighton, UT
  • NPI 1508265612
  NPD tax ID

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1891921086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840370640",
            "telephone_number": "801-593-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 W 200 N",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840372406",
            "telephone_number": "801-593-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLD CREEK WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-593-6777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "15305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cold Creek Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Travis Clark, D.O.
• Christine Marye Cleveland
• Clever Thinking Therapy LLC
• Kevin Clifford, D.D.S.
• Coded Wellness
• Comfort Worx Hospice of Utah
• Courageous Hope Counseling LLC
• Couser Orthodontics, LLC
• Garison Dan Couser, DDS, MS
• Tina Craner, DEM

• Substance Abuse Rehabilitation Facility in Kaysville, UT
• Providers in Kaysville, 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 Dec 29, 2016; 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.