Youthtrack Utah
LBN: Youthtrack, Inc.
Youthtrack Utah is an health care organization with primary practice located at 862 S Main St Ste 6, Brigham City UT 84302-3320. The organization recently has 5 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Agencies / Foster Care Agency, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Community/Behavioral Health is the primary health care specialty.
Youthtrack, Inc. can be contacted via phone (435) 723-1799, or through Ombres, Deena via phone (502) 394-2387.
Contact Information
Primary practice address
862 S Main St Ste 6
Brigham City UT 84302-3320
Phone: (435) 723-1799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Public Health or Welfare | 251K00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Agencies / Foster Care Agency | 253J00000X | Utah | |
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X |
Profile Details
| NPI number | 1740494939 |
|---|---|
| LBN Legal business name | Youthtrack, Inc. |
| DBA Doing business as | Youthtrack Utah |
| Authorized official | Ombres, Deena |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Dec 8th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740494939 | NPPES |
| Utah | MEDICAID | HS 175 PI |
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