Utah House
LBN: Utah House
Utah House is an health care organization with primary practice located at 1370 S West Temple , Salt Lake City UT 84115-5218. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Utah House can be contacted via phone (801) 678-3317, or through Jurgela, Alycia E via phone (801) 678-3317.
Contact Information
Primary practice address
1370 S West Temple
Salt Lake City UT 84115-5218
Phone: (801) 678-3317
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X |
Profile Details
| NPI number | 1700345972 |
|---|---|
| LBN Legal business name | Utah House |
| DBA Doing business as | |
| Authorized official | Jurgela, Alycia E |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 18th, 2019 |
| Last updated | Jun 11th, 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 | 1700345972 | NPPES |
| Utah | MEDICAID | 1477985513 |
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