THE BLOC OUTPATIENT, LLC (NPI# 1598118747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598118747 |
| Entity Type | Organization |
| Organization Name | THE BLOC OUTPATIENT, LLC |
| Practice Address |
716 E 4500 S Ste S260 Murray UT 84107-3611 |
| Practice Telephone | 8016693967 |
| Mailing Telephone | 8016693967 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |
| Authorized Official Name | MICAH WOODWORTH (ADMINISTRATOR) |
| Authorized Official Telephone | 8016693967 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
716 E 4500 S STE S260 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368500 | Melissa Mehan | Counselor | 716 E 4500 S Ste S260, Murray, UT 84107-3611 | 2020-08-28 |
| 1619594983 | Mckenzie Lynn Rodarte | Counselor | 716 E 4500 S Ste S260, Murray, UT 84107-3611 | 2020-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891307104 | Steps Recovery Center | Substance Abuse Rehabilitation Facility | 345 E 4500 S # 100-140, Murray, UT 84107-3991 | 2020-08-18 |
| 1053868034 | Healing Science Retreat LLC | Substance Abuse Rehabilitation Facility | 508 E Vine St, Murray, UT 84107-5020 | 2016-09-07 |
| 1124474937 | Cpf Recovery Ways, LLC | Substance Abuse Rehabilitation Facility | 4852 Commerce Drive, Murray, UT 84107 | 2016-05-11 |
| 1063891257 | Cpf Recovery Ways, LLC | Substance Abuse Rehabilitation Facility | 4846 S Commerce Dr, Murray, UT 84107-4761 | 2015-05-21 |
| 1023358678 | Recovery Ways, LLC. | Substance Abuse Rehabilitation Facility | 5288 S Allendale Dr, Murray, UT 84123-4536 | 2013-02-19 |
| 1407116072 | Olafsson Abuse Services, LLC | Substance Abuse Rehabilitation Facility | 404 E 4500 S, Suite B-24, Murray, UT 84107-2712 | 2012-05-16 |
| 1194040501 | Recovery Ways, LLC | Substance Abuse Rehabilitation Facility | 4883 S Box Elder St, Murray, UT 84107-4730 | 2010-03-30 |
| 1639711955 | Ihc Health Services Inc | Substance Abuse Rehabilitation Facility | 5770 S 250 E Ste 300, Murray, UT 84107-8110 | 2019-10-09 |
| 1356758684 | Cpf Recovery Ways, LLC | Substance Abuse Rehabilitation Facility | 4883 S Box Elder St, Murray, UT 84107-4730 | 2014-07-18 |
| 1568893725 | Recovery Ways Sugarhouse Center | Substance Abuse Rehabilitation Facility | 5288 S Allendale Dr, Suite 2, Murray, UT 84123-4536 | 2013-12-12 |
| Find all providers in MURRAY | ||||
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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.