Baymark Health Services of Utah, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

BAYMARK HEALTH SERVICES OF UTAH, INC.

Practice address

2557 Lincoln Ave
Ogden, UT 84401-1307

Phone

(214) 379-3398

NPI assigned

Oct 22, 2018

Organization subpart

No

Name

Bruce Jarvie

Title

VP, Treasurer

Phone

(214) 379-3300

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Baymark Health Services of Utah, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1710453352

  O20200225002598

  Same enrollment

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Szucs Carleton, M.D

  • Hospitalist Physician
  • Salt Lake City, UT
  • NPI 1417101882
  NPD
• Timothy S Grange, MD

  • Physical Medicine & Rehabilitation Physician
  • Salt Lake City, UT
  • NPI 1932169430
  NPD
• Greg F Powell, PA-C

  • Physician Assistant
  • West Valley City, UT
  • NPI 1184623829
  NPD
• Liat Ankonina, SSW

  • Addiction (Substance Use Disorder) Counselor
  • Salt Lake City, UT
  • NPI 1548859671
  NPD (past)
• Suzan N Awi

  • Licensed Vocational Nurse
  • Murray, UT
  • NPI 1023708062
  NPD (past)
• Stephani Bylund, LPN

  • Licensed Practical Nurse
  • Ogden, UT
  • NPI 1578135497
  NPD (past)
• Rebecca Dawson, RN

  • Registered Nurse
  • Ogden, UT
  • NPI 1598507758
  NPD (past)
• Debra Drabner

  • Addiction (Substance Use Disorder) Counselor
  • Murray, UT
  • NPI 1740845858
  NPD (past)
• Brianna Green, CMHC, MT-BC

  • Professional Counselor
  • Bountiful, UT
  • NPI 1760015515
  NPD (past)
• Heather Nicole Hicken, RN

  • Registered Nurse
  • Sandy, UT
  • NPI 1437822640
  NPD (past)
• Clarissa Hill, SSW

  • Social Worker
  • Murray, UT
  • NPI 1255259164
  NPD (past)
• Steven Horsley, LPN

  • Licensed Practical Nurse
  • Murray, UT
  • NPI 1598438368
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in UT

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Tax ID family

Baart Programs Ogden2 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.

• Baymark Health Services of Utah, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1710453352
  NPD tax ID

Locations

• BAART Programs Ogden Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2024.

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1982170528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR STE 117",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576425",
            "telephone_number": "214-379-3300",
            "fax_number": "214-853-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 LINCOLN AVE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011307",
            "telephone_number": "214-379-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYMARK HEALTH SERVICES OF UTAH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAART Programs Ogden",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BAART Programs Ogden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Baumgartner, PHARMD.
• Kylie Baumgartner
• Maren Hazen Baumgartner
• McKye Baur
• Kathleen Diane Baxter, AMFT
• Be at Home, Inc.
• Rha'Gene Beal
• Alissa Bean
• Leslie L Beatty, MPC, LCMHC
• Michael Jay Beaudoin, LCSW

• All providers in Ogden, UT
• 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 Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.