Organization
SUMMIT LODGE RECOVERY CENTER
Active
Organization
SUMMIT LODGE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL HANSON M.D. (ADMINISTRATOR)
(435) 427-8808
Entity
Organization
Contact information
Practice address
RR 1 BOX 73B, FAIRVIEW, UT 84629-9505
(435) 427-8808
Mailing address
RR 1 BOX 73B, FAIRVIEW, UT 84629-9505
(435) 427-8808
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
13564
UT
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up