UTE TRIBE ALCOHOL/SUBSTANCE ABUSE PREVENTION
NPI 1225401763
Community/Behavioral Health in Fort Duchesne, UT
- Organization
- Community/Behavioral Health
- CLIA Number: 46D2280246
- CLIA Cert. Type: Other - DIABETES PREVENTION PROGR
- CLIA Exp. Date: 04-16-2027
About UTE TRIBE ALCOHOL/SUBSTANCE ABUSE PREVENTION
This page provides the complete NPI Profile along with additional information for Ute Tribe Alcohol/substance Abuse Prevention, a provider established in Fort Duchesne, Utah operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1225401763 assigned on November 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Anthony Guzman Lcsw (Program Director)
- NPI
- 1225401763 Verify this NPI
- Provider Name
- UTE TRIBE ALCOHOL/SUBSTANCE ABUSE PREVENTION
- Entity Type
- Organization
- Location Address
- 550 SOUTH 6777 EAST FORT DUCHESNE, UT 84026
- Location Phone
- (435) 722-3234
- Mailing Address
- 550 SOUTH 6777 EAST P.O.BOX 369 FORT DUCHESNE, UT 84026
- Mailing Phone
- (435) 722-3234
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-05-2015
- Last Update Date
- 11-05-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2280246
- Facility Type
- Other - DIABETES PREVENTION PROGR
- Certificate Effective Date
- April 17, 2025
- Certificate Expiration Date
- April 16, 2027
- Laboratory Director
- CASSANDRA MANNING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ute Tribe Alcohol/substance Abuse Prevention to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225401763, enumerated as an "organization" on November 05, 2015.
The provider is located at 550 SOUTH 6777 EAST FORT DUCHESNE, UT 84026 and the phone number is (435) 722-3234.
Community/Behavioral Health with taxonomy code 251S00000X.
