Blue Hills Residential Treatment

LBN: Blue Hills Residential Treatment
Blue Hills Residential Treatment is an health care organization with primary practice located at 2860 East 19500 North , Moroni UT 84646-0461. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Blue Hills Residential Treatment can be contacted via phone (435) 436-9029, or through Colburn, Ethan Edward via phone (435) 445-5200.

Contact Information

Primary practice address
2860 East 19500 North Moroni UT 84646-0461
Phone: (435) 436-9029
Fax: (435) 445-5201
Website:
Map and Directions
Authorized official contact:
Name: Colburn, Ethan Edward CMHCI
Phone: (435) 445-5200

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Utah

Profile Details

NPI number 1336523695
LBN Legal business name Blue Hills Residential Treatment
DBA Doing business as
Authorized official Colburn, Ethan Edward CMHCI
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2015
Last updated Jul 16th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336523695 NPPES
Utah MEDICAID 1235458555

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