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FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH INC
NPI 1164048492
Clinic/Center - Methadone in Price, UT

Active since June 23, 2020CLIA 46D2296972 · Waiver

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Four Corners Community Behavioral Health Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUR CORNERS COMMUNITY BEHAVIORAL HEALTH INC (NPI 1164048492), doing business as Operation Recovery, is a healthcare organization registered as a methadone in Price, Utah and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through January 8, 2028 and lists Jeanie Willson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164048492
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameFOUR CORNERS COMMUNITY BEHAVIORAL HEALTH INC
Location Address77 S 600 EPrice, UT 84501-3174
Mailing AddressPo Box 867Price, UT 84501-0867 · (435) 637-7200 · Fax (435) 637-2377
Phone(435) 637-7289
Organization SubpartYes
Authorized OfficialJeanie WillsonCfo · (435) 637-7200
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1164048492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
77 S 600 E, Price, UT 84501
Open in Google Maps ↗

Other Names 1

Doing Business AsOperation Recovery

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2296972

Four Corners Community Behavioral Health · Price, UT
Active · expires Jan 8, 2028
CLIA Number46D2296972
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorCarolshene Powell
Laboratory Phone(435) 613-7289
Laboratory LocationFour Corners Community Behavioral Health77 South 600 East, Price, UT 84501
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY THAYN
Registered Nurse
77 S 600 E
PRICE, UT 84501
Carbon County (435) 637-4246
CHAPEL TAYLOR-OLSEN
Registered Nurse
77 S 600 E
PRICE, UT 84501
Carbon County (435) 613-7289
MICHAELA FOSSAT RN
Registered Nurse
77 S 600 E
PRICE, UT 84501
Carbon County (435) 637-7200
KAYLEE QUINTON RN
Registered Nurse
77 S 600 E
PRICE, UT 84501
Carbon County (435) 613-7289
MRS. DANIELLE HOWA PENDERGRASS DNP, APRN, WHNP-BC
Nurse Practitioner (Women's Health)
77 S 600 E, SUITE B
PRICE, UT 84501
Carbon County (435) 637-0313
BUD TRUMAN
Case Manager/Care Coordinator
77 S 600 E
PRICE, UT 84501
Carbon County (435) 637-4246
ELIZABETH NIELSON
Case Manager/Care Coordinator
77 S 600 E
PRICE, UT 84501
Carbon County (435) 637-4246
BODEE WIGINTON RN
Registered Nurse
77 S 600 E
PRICE, UT 84501
Carbon County (435) 637-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Four Corners Community Behavioral Health Inc's NPI number?

The NPI number for Four Corners Community Behavioral Health Inc is 1164048492. It was assigned to this organization in the NPPES registry on June 23, 2020. The provider is doing business as Operation Recovery.

Where is Four Corners Community Behavioral Health Inc located?

Four Corners Community Behavioral Health Inc is located at 77 S 600 E, Price, UT 84501. The listed phone number is (435) 637-7289.

What is Four Corners Community Behavioral Health Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Four Corners Community Behavioral Health Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2296972) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Four Corners Community Behavioral Health Inc was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.