PATRICK EBORN (NPI# 1063772960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063772960 |
| Entity Type | Individual |
| Full Name | PATRICK EBORN |
| Practice Address |
58 S 950 W Brigham City UT 84302-4424 |
| Mailing Address |
Po Box 526 Brigham City UT 84302-0526 |
| Practice Telephone | 4355385061 |
| Mailing Telephone | 4355385061 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2017-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
58 S 950 W |
| City | BRIGHAM CITY |
| State | UT |
| Zip Code | 84302-4424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154641926 | Triumph Youth Services | Substance Abuse Rehabilitation Facility | 58 S 950 W, Brigham City, UT 84302-4424 | 2010-06-03 |
| 1104248608 | Caleb Chadwick | Counselor | 58 S 950 W, Brigham City, UT 84302-4424 | 2014-01-17 |
| 1245571173 | Robert Hancock | Counselor | 58 S 950 W, Brigham City, UT 84302-4424 | 2013-03-01 |
| 1124364922 | Triumph Voyage, LLC | Foster Care Agency | 58 S 950 W, Brigham City, UT 84302-4424 | 2012-12-25 |
| 1295084275 | Christopher Hancock | Counselor | 58 S 950 W, Brigham City, UT 84302-4424 | 2012-09-05 |
| 1639428618 | Christopher Sorenson | Counselor | 58 S 950 W, Brigham City, UT 84302-4424 | 2012-09-05 |
| 1235499112 | Gary Napper | Counselor | 58 S 950 W, Brigham City, UT 84302-4424 | 2012-05-24 |
| 1770854457 | Daren R Larsen | Counselor | 58 S 950 W, Brigham City, UT 84302-4424 | 2012-01-26 |
| 1659641272 | Stephan Riojas | Counselor | 58 S 950 W, Brigham City, UT 84302-4424 | 2012-01-12 |
| 1396016929 | William Haigh | Counselor | 58 S 950 W, Brigham City, UT 84302-4424 | 2012-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945531 | Brandon Lee Allen | Counselor | 971 South 800 West, #104, Brigham City, UT 84302 | 2019-01-03 |
| 1104307495 | Tiffany Burnhope | Social Worker | 663 Parker Lane, Brigham City, UT 84302 | 2018-08-24 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1497273130 | Emily Marler | Counselor | 862 South Main Suite 4, Brigham City, UT 84302 | 2017-09-01 |
| 1003268731 | Tyler Beckstrand | Social Worker | 125 N Main Street, Brigham City, UT 84302 | 2016-07-06 |
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1699156802 | Christopher Jacobson | Family Medicine | 1050 Medical Dr, Brigham City, UT 84302 | 2015-06-12 |
| 1811377765 | Courtney Allred | Counselor | 863 S Main Street Suite 2, Brigham, UT 84302 | 2015-06-05 |
| 1235529579 | Belinda Castro | Counselor | 862 S Main Street Suite 2, Brigham City, UT 84302 | 2015-01-26 |
| 1760871818 | Ambryn Mccallson | Counselor | 862 S. Main, 4, Brigham City, UT 84302 | 2015-01-13 |
| Find all providers in zip 84302 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780030155 | Angela Stott | Case Manager/Care Coordinator | 160 E 800 S Apt. B216, Brigham City, UT 84302 | 2016-05-04 |
| 1760884100 | Jennifer Morey | Case Manager/Care Coordinator | 625 S 300 W, Brigham City, UT 84302-2805 | 2014-09-17 |
| 1497133516 | Angela Terry Silvester | Case Manager/Care Coordinator | 625 S 300 E, Brigham City, UT 84302-2910 | 2015-05-08 |
| 1891079141 | Malinda Ann Henderson | Case Manager/Care Coordinator | 663 W 950 S, Brigham City, UT 84302-3021 | 2011-10-05 |
| 1831495522 | Colette Culp | Case Manager/Care Coordinator | 663 W 950 S, Brigham City, UT 84302-3021 | 2011-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898111 | Alexis Charrissma Piccolo-lamberg | Case Manager/Care Coordinator | 1421 E Murphys Ln, Millcreek, UT 84106-2992 | 2020-10-09 |
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1245847334 | Antonio Lumbreras-pimentel | Case Manager/Care Coordinator | 4863 W Seneca Rd, West Valley City, UT 84120-3625 | 2020-09-23 |
| 1316551336 | Mary Ann Rush | Case Manager/Care Coordinator | 334 E. 100 S., Slc, UT 84111 | 2020-09-08 |
| 1326652116 | Brenna Colleen Ball | Case Manager/Care Coordinator | 671 N Oakley St, Salt Lake City, UT 84116-3833 | 2020-08-31 |
| 1437761368 | Tonia Price | Case Manager/Care Coordinator | 625 S 200 E, Salt Lake City, UT 84111-3801 | 2020-08-21 |
| 1386254316 | Andrew Soliz II | Case Manager/Care Coordinator | 48 N Shields Lane, Moab, UT 84532 | 2020-08-04 |
| 1386264802 | Mckensee M Carter | Case Manager/Care Coordinator | 334 E 100 S, Salt Lake City, UT 84111 | 2020-04-24 |
| 1215563341 | Roxanne Aloni Love | Case Manager/Care Coordinator | 2875 N Hill Field Rd Trlr 65, Layton, UT 84041-1358 | 2020-03-20 |
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| Find all providers with the same taxonomy | ||||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
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| 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.