BAYMARK HEALTH SERVICES OF UTAH, INC. (NPI# 1710453352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710453352 |
| Entity Type | Organization |
| Organization Name | BAYMARK HEALTH SERVICES OF UTAH, INC. |
| Other Organization Name | BAART PROGRAMS SALT LAKE CITY |
| Practice Address |
164 E 5900 S Salt Lake City UT 84107-7256 |
| Mailing Address |
1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 |
| Practice Telephone | 2143793300 |
| Mailing Telephone | 2143793300 |
| Mailing Fax Number | 3148539018 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | BOND ANDREWS (VP, REVENUE CYCLE MANAGEMENT) |
| Authorized Official Telephone | 2143793398 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BAART Programs Salt Lake City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170528 | Baymark Health Services of Utah, Inc. | Clinic/Center | 2557 Lincoln Ave, Ogden, UT 84401-1307 | 2018-10-22 |
| Street Address |
164 E 5900 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-7256 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666870 | One Voice Recovery | Clinic/Center | 1400 S 1100 E, Salt Lake City, UT 84105-2435 | 2019-12-12 |
| 1316392897 | Nuway Recovery, LLC | Clinic/Center | 4925 S 900 E, Salt Lake City, UT 84117-5784 | 2016-05-03 |
| 1578803748 | Recovery Ways, LLC | Clinic/Center | 1174 East 2760 South, Suite #10, Salt Lake City, UT 84106 | 2013-02-25 |
| 1942502638 | Tranquility Place of Utah LLC | Clinic/Center | 160 E 800 S Ste B, Salt Lake City, UT 84111-3827 | 2010-12-01 |
| 1003997701 | Assessment, Counseling & Educational Services | Clinic/Center | 3808 S West Temple, Sutie 150, Salt Lake City, UT 84115-4446 | 2006-10-18 |
| 1033143706 | Odyssey House Inc. | Clinic/Center | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2006-07-10 |
| 1477189900 | Red Willow Iop, Pllc | Clinic/Center | 1425 S 700 E Ste 102, Salt Lake City, UT 84105-2125 | 2020-03-16 |
| 1265871644 | Odyssey House | Clinic/Center | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2013-06-19 |
| 1639492036 | Michelle Moyes | Clinic/Center | 2001 S State St, S2300, Salt Lake City, UT 84190-0001 | 2010-03-12 |
| 1932422474 | Debbie L Scovill | Clinic/Center | 2001 S State St Ste S2300, Salt Lake City, UT 84190-2250 | 2010-03-11 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.