CURTIS BRYANT BLACKHAM
NPI 1235425109
Substance Abuse Rehabilitation Facility in Moroni, UT

Active since June 20, 2011
21260 N 1450 E, MORONI, UT 84646(435) 445-5200(435) 445-5201 Get Directions Write a Review

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Curtis Bryant Blackham NPPES

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

CURTIS BRYANT BLACKHAM (NPI 1235425109) is an individual substance abuse rehabilitation facility provider in Moroni, Utah, licensed in Utah (272503815) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1235425109
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameCURTIS BRYANT BLACKHAM
Location Address21260 N 1450 EMoroni, UT 84646-0461
Mailing AddressPo Box 461, 21260 N 1450 EMoroni, UT 84646-0461 · (435) 445-5200 · Fax (435) 445-5201
Fax(435) 445-5201
Sole ProprietorYes
Enumeration DateJune 20, 2011
NPI 1235425109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in UT · 272503815
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
21260 N 1450 E, Moroni, UT 84646

Other Providers at the Same Location NPPES 10

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

Counselor (Addiction (Substance Use Disorder))
21260 N 1450 E
MORONI, UT 84646
Counselor (Addiction (Substance Use Disorder))
21260 N 1450 E
MORONI, UT 84646
Counselor
21260 N 1450 E
MORONI, UT 84646
Counselor (Addiction (Substance Use Disorder))
21260 N 1450 E
MORONI, UT 84646
Counselor
21260 N 1450 E
MORONI, UT 84646
Social Worker (Clinical)
21260 N 1450 E
MORONI, UT 84646
Counselor
21260 N 1450 E
MORONI, UT 84646
Community Health Worker
21260 N 1450 E
MORONI, UT 84646

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 Curtis Blackham's NPI number?

The NPI number for Curtis Blackham is 1235425109. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Curtis Blackham located?

Curtis Blackham practices at 21260 N 1450 E, Moroni, UT 84646. The listed phone number is (435) 445-5200.

What is Curtis Blackham's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Curtis Blackham was last updated on June 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.