COPPER MOUNTAIN RECOVERY LLC (NPI# 1962918631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962918631 |
| Entity Type | Organization |
| Organization Name | COPPER MOUNTAIN RECOVERY LLC |
| Practice Address |
5288 S Allendale Dr Murray UT 84123-4536 |
| Mailing Address |
4848 S Commerce Dr Murray UT 84107-4761 |
| Practice Telephone | 8013265180 |
| Mailing Telephone | 8013265180 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |
| Authorized Official Name | PAULETTE JENSEN (CONTRACT SPECIALIST) |
| Authorized Official Telephone | 8018428365 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
UT | Ambulatory Health Care Facilities |
| Street Address |
5288 S ALLENDALE DR |
| City | MURRAY |
| State | UT |
| Zip Code | 84123-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023358678 | Recovery Ways, LLC. | Substance Abuse Rehabilitation Facility | 5288 S Allendale Dr, Murray, UT 84123-4536 | 2013-02-19 |
| 1881146041 | Matthew Joseph Quackenbush | Social Worker | 5288 S Allendale Dr, Murray, UT 84123-4536 | 2016-11-03 |
| 1609281039 | Cpf Recovery Ways LLC | Psychiatric Residential Treatment Facility | 5288 S Allendale Dr, Murray, UT 84123-4536 | 2014-06-24 |
| 1346653417 | Jonathan Saul | Counselor | 5288 S Allendale Dr, Murray, UT 84123-4536 | 2014-06-06 |
| 1568893725 | Recovery Ways Sugarhouse Center | Substance Abuse Rehabilitation Facility | 5288 S Allendale Dr, Suite 2, Murray, UT 84123-4536 | 2013-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871016840 | Breakaway Recovery Center Murray, LLC | Clinic/Center | 5296 S Commerce Dr Ste 204, Murray, UT 84107-5393 | 2017-07-21 |
| 1437567898 | Cpf Recovery Ways LLC | Clinic/Center | 385 W 4800 S, Murray, UT 84123-4662 | 2014-07-30 |
| 1760897953 | Cpf Recovery Ways LLC | Clinic/Center | 5292 Allendale Dr., Murray, UT 84123-4536 | 2014-06-25 |
| 1083704597 | Family Counseling Center | Clinic/Center | 650 East 4500 South Suite 300, Murray, UT 84107-2900 | 2006-10-13 |
| 1467552208 | Big Brothers Big Sisters of Utha | Clinic/Center | 151 E 5600 S, Suite Number 200, Murray, UT 84107-6181 | 2006-09-22 |
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| 1003427923 | Painted Desert Recovery LLC | Clinic/Center | 1947 S 2800 E, New Harmony, UT 84757-5115 | 2020-08-13 |
| 1437780673 | Beecon Recovery | Clinic/Center | 60 S Main St Ste B0001, Brigham City, UT 84302-6795 | 2020-01-27 |
| 1124666870 | One Voice Recovery | Clinic/Center | 1400 S 1100 E, Salt Lake City, UT 84105-2435 | 2019-12-12 |
| 1992343834 | Avante Recovery Center, LLC | Clinic/Center | 848 E 1475 N, Lehi, UT 84043-3568 | 2019-12-11 |
| 1467912139 | Infinite Arches LLC | Clinic/Center | 136 25th St, Ogden, UT 84401-1302 | 2019-03-20 |
| 1669952958 | Utah Harm Reduction Coalition | Clinic/Center | 91 E 7200 S, Midvale, UT 84047-1531 | 2018-08-16 |
| 1528580180 | Brighton House LLC | Clinic/Center | 2945 E Robidoux Rd, Sandy, UT 84093-1128 | 2017-07-14 |
| 1316392897 | Nuway Recovery, LLC | Clinic/Center | 4925 S 900 E, Salt Lake City, UT 84117-5784 | 2016-05-03 |
| 1578917787 | Deer Hollow Outpatient Services, LLC | Clinic/Center | 12608 S 125 W Ste E, Draper, UT 84020-8437 | 2016-04-14 |
| Find all providers with the same taxonomy | ||||
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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.