ODYSSEY HOUSE INC.


Address: 340 E 100 S, Salt Lake City, UT 84111-1702
Phone: 8014283500

ODYSSEY HOUSE INC. (NPI# 1033143706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033143706
Entity Type Organization
Organization Name ODYSSEY HOUSE INC.
Practice Address 340 E 100 S
Salt Lake City
UT 84111-1702
Mailing Address 344 E 100 S Ste 301
Salt Lake City
UT 84111-1727
Practice Telephone 8014283500
Practice Fax Number 8013222831
Mailing Telephone 8013224257
Mailing Fax Number 8013222831
Enumeration Date 2006-07-10
Last Update Date 2013-05-21
Authorized Official Name EMILY LEWIS (DIRECTOR OF BUSINESS OPERATIONS)
Authorized Official Telephone 8014283487
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
11273 UT Ambulatory Health Care Facilities
Y 261QP2300X Clinic/Center
Specialization: Primary Care
163407-1205 UT Ambulatory Health Care Facilities

Office Location

Street Address 340 E 100 S
City SALT LAKE CITY
State UT
Zip Code 84111-1702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730788084 Braden Price Case Manager/Care Coordinator 340 E 100 S, Salt Lake City, UT 84111-1702 2020-10-19
1316500754 Chloe Lorraine Maddox Case Manager/Care Coordinator 340 E 100 S, Salt Lake City, UT 84111-1702 2019-04-22
1922573633 Stephanie Wheatley Nurse Practitioner 340 E 100 S, Salt Lake City, UT 84111-1836 2018-10-09
1750829743 Krista Eger Community Health Worker 340 E 100 S, Ste 301, Salt Lake City, UT 84111-1702 2017-02-09
1164856886 Chad Ryan Rebo Physician Assistant 340 E 100 S, Salt Lake City, UT 84111-1702 2013-08-29
1356612790 Myles Davis Counselor 340 E 100 S, Salt Lake City, UT 84111-1702 2012-01-17
1780960153 Robert Price Counselor 340 E 100 S, Salt Lake City, UT 84111-1702 2011-10-28
1538477187 Bradley Pedersen Counselor 340 E 100 S, Salt Lake City, UT 84111-1702 2010-09-16
1164739454 Hayley L Mcmillan Counselor 340 E 100 S, Salt Lake City, UT 84111-1702 2010-09-08
1588985238 Odyssey House of Utah Substance Abuse Rehabilitation Facility 340 E 100 S, Salt Lake City, UT 84111-1702 2010-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316551336 Mary Ann Rush Case Manager/Care Coordinator 334 E. 100 S., Slc, UT 84111 2020-09-08
1790396554 Stephanie G Mishenko Military Health Care Provider 344e 100s, Slc, UT 84111 2020-08-13
1386264802 Mckensee M Carter Case Manager/Care Coordinator 334 E 100 S, Salt Lake City, UT 84111 2020-04-24
1316421761 Community Health Centers, Inc. Social Worker 610 S 200 E Ste #b, Salt Lake City, UT 84111 2018-09-21
1528545506 Lauren Brittney Harman Case Manager/Care Coordinator 344 E. 100 S., Salt Lake City, UT 84111 2018-07-23
1851896484 Shivani Chowdhary Dentist 370 E South Temple Ste 350, Salt Lake City, UT 84111 2018-03-26
1801390661 Jaylee Marie Watman Case Manager/Care Coordinator 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 2018-03-19
1467963918 Victoira Julia Graham Case Management 344 East 100 South Ste 301, Salt Lake City, UT 84111 2017-10-23
1750805404 Kayla Hymas Behavioral Analyst 243 E. 400 S., Slc, UT 84111 2017-08-02
1134643224 Julie Peaslee Counselor 275 E South Temple Ste 110, Salt Lake City, UT 84111 2017-07-31
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760033443 Careatc Clinic/Center 669 W 200 S, Salt Lake City, UT 84101-1014 2019-09-24
1174006605 Bristol Palliative Care Services, L.L.C. Clinic/Center 3216 S Highland Dr Ste 100, Salt Lake City, UT 84106-4196 2018-09-11
1053764431 Olympus Family Medicine Clinic/Center 4624 S Holladay Blvd Ste 100, Salt Lake City, UT 84117-7054 2016-07-20
1467830919 Mary M. Martineau Clinic/Center 335 E 2nd Ave Apt A, Salt Lake City, UT 84103-2626 2015-05-15
1316117344 Avenues To Health, LLC Clinic/Center 223 W 700 S, Suite D, Salt Lake City, UT 84101-2718 2008-03-05
1487260550 Doctors House Calls of Utah, LLC Clinic/Center 1250 E 3900 S Ste 440, Salt Lake City, UT 84124-1349 2020-09-23
1184093924 Westech Wellness Center Clinic/Center 3605 S West Temple, Salt Lake City, UT 84115-4409 2015-09-23
1275940611 Sunnyside Pediatrics Clinic/Center 1060 E 100 S, #400, Salt Lake City, UT 84102-1501 2014-07-17
1447667217 Granger Medical Clinic, Inc. Clinic/Center 1250 E 3900 S, Suite 250, Salt Lake City, UT 84124-1348 2014-07-14
1821225079 Sara A. Wells, M.d., A Professional Corporation Clinic/Center 2131 E 2100 S, Salt Lake City, UT 84109-1128 2009-06-15
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Competitor

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City SALT LAKE CITY
Zip Code 84111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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