SUMMIT COUNTY CLUBHOUSE - NPI 1902456148 - Case Manager/Care Coordinator in Park City, UT

Q: What is Summit County Clubhouse's NPI number?

The NPI number for Summit County Clubhouse is 1902456148. It was assigned to this organization in the NPPES registry on September 19, 2019.

Q: What is Summit County Clubhouse's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

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About Summit County Clubhouse NPPES

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

SUMMIT COUNTY CLUBHOUSE (NPI 1902456148) is a healthcare organization registered as a case manager/care coordinator in Park City, Utah and active in the NPI registry since September 2019. The organization lists Amber Mackay, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902456148

Entity TypeOrganization

Primary Taxonomy171M00000X

Legal Business NameSUMMIT COUNTY CLUBHOUSE

Location Address1283 DEER VALLEY DRPark City, UT 84060-5182

Mailing AddressPo Box 680861Park City, UT 84068-0861 · (801) 930-0277

Phone(801) 930-0277

Organization SubpartNo

Authorized OfficialAmber MackayExecutive Director · (801) 930-0277

Enumeration DateSeptember 19, 2019

Last NPPES UpdateNovember 27, 2023

✔ NPI 1902456148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1283 DEER VALLEY DR, Park City, UT 84060

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Other Identifiers 1

Medicaid1003101UT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

CHRISTIAN CENTER OF PARK CITY

Counselor (Mental Health)