Red Mesa Housing Case Management
LBN: Red Mesa Housing Case Management
Red Mesa Housing Case Management is an health care organization with primary practice located at 580 S 500 W , Salt Lake City UT 84101-2209. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Case Management, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Agencies / Case Management is the primary health care specialty.
Red Mesa Housing Case Management can be contacted via phone (801) 746-6852, or through Flack, Paul S via phone (801) 214-7681.
Contact Information
Primary practice address
580 S 500 W
Salt Lake City UT 84101-2209
Phone: (801) 746-6852
Fax: (801) 746-7687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Agencies / Case Management | 251B00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1285195446 |
|---|---|
| LBN Legal business name | Red Mesa Housing Case Management |
| DBA Doing business as | |
| Authorized official | Flack, Paul S DMFT, LMFT |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 28th, 2019 |
| Last updated | Mar 28th, 2019 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285195446 | NPPES |
| Utah | MEDICAID | 11544773158 |
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