ETHAN COLBURN CMHCI
NPI 1316314081
Substance Abuse Rehabilitation Facility in Moroni, UT
NPI Status: Active since August 28, 2015
Contact Information
21360 N 1450 E
MORONI, UT
ZIP 84646
Phone: (435) 445-5200
Fax: (435) 445-5201
- Individual
- Male
- Substance Abuse Rehabilitation Facility
About ETHAN COLBURN
This page provides the complete NPI Profile along with additional information for Ethan Colburn, a provider established in Moroni, Utah with a medical specialization in Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1316314081 assigned on August 2015. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1316314081
- Provider Name
- ETHAN COLBURN CMHCI
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 21360 N 1450 E MORONI, UT 84646
- Location Phone
- (435) 445-5200
- Location Fax
- (435) 445-5201
- Mailing Address
- PO BOX 461 21360 N 1450 E MORONI, UT 84646
- Mailing Phone
- (435) 445-5200
- Mailing Fax
- (435) 445-5201
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-28-2015
- Last Update Date
- 08-28-2015
- 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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License State
- UT
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 272503815 | MEDICAID (05) | UT |
Reviews for ETHAN COLBURN CMHCI
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 3 | 1 | 4 | 0 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 6 | 1 | 8 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 6 + 1 + 8 + 0 + 1 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1316314081 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982972964 | LIGHTHOUSE RANCH Organization | Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children) | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1952672735 | MATTHEW ELMO JACOBSON Individual | Counselor (Addiction (Substance Use Disorder)) | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1124328349 | LANCE IRONS Individual | Counselor (Addiction (Substance Use Disorder)) | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1568712453 | MR. KENNETH COREY RAWLINGS Individual | Counselor (Addiction (Substance Use Disorder)) | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1629497458 | JAMES BEASLEY Individual | Substance Abuse Rehabilitation Facility | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1629488762 | KATHY HARWARD Individual | Counselor | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1366845786 | BART DOUGLAS HENNAGIR ASSOCIATES OF SCIENC Individual | Counselor | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1639565260 | SALT CREEK ADDICTION RECOVERY SERVICES Organization | Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children) | 21360 N 1450 E MORONI, UT 84646 (435) 262-0891 |
| 1720465727 | BLUE HILLS RESIDENTIAL TREATMENT Organization | Substance Abuse Rehabilitation Facility | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1770960411 | BLUE HILLS RESIDENTIAL TREATMENT Organization | Substance Abuse Rehabilitation Facility | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1417301011 | JENESSA TUAI Individual | Counselor | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1699120279 | ROCKY DETTAMANTI Individual | Counselor | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1407201072 | ALICIA HILL Individual | Counselor | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1518319102 | AUBREE BAILEY Individual | Community Health Worker | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1902354335 | MELYN LUND Individual | Community Health Worker | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1366978827 | JAKE PAXMAN Individual | Counselor | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1437685906 | ERICK ESPINOZA Individual | Counselor | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1114448362 | AMY RUTH BROWN Individual | Counselor | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1508386608 | KATIE CRANFORD Individual | Counselor | 21360 N 1450 E MORONI, UT 84646 (435) 445-5200 |
| 1144927542 | KEITH LIVINGSTON Individual | Counselor | 21360 N 1450 E MORONI, UT 84646 (435) 262-1217 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316314081, enumerated in the NPI registry as an "individual" on August 28, 2015
The provider is located at 21360 N 1450 E Moroni, Ut 84646 and the phone number is (435) 445-5200
The provider's speciality is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 28, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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