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: July 19, 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
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 ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
77 S 600 E, Price, UT 84501

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.

Nurse Practitioner (Women's Health)
77 S 600 E, SUITE B
PRICE, UT 84501
Registered Nurse
77 S 600 E
PRICE, UT 84501
Case Manager/Care Coordinator
77 S 600 E
PRICE, UT 84501
Registered Nurse
77 S 600 E
PRICE, UT 84501
Case Manager/Care Coordinator
77 S 600 E
PRICE, UT 84501
Registered Nurse
77 S 600 E
PRICE, UT 84501
Registered Nurse
77 S 600 E
PRICE, UT 84501
Registered Nurse
77 S 600 E
PRICE, UT 84501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164048492, enumerated as an "organization" on June 23, 2020.

The provider is located at 77 S 600 E PRICE, UT 84501 and the phone number is (435) 637-7289.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.