Intermountain Health Addiction Medicine & Recovery Clinic - Logan – Methadone Clinic, NPI 1104461060

Intermountain Health Addiction Medicine & Recovery Clinic - Logan is a healthcare provider. based in Salt lake city, Utah. specializing in Methadone Clinic. The NPI Number for Intermountain Health Addiction Medicine & Recovery Clinic - Logan is 1104461060

Main info

Organization
Name
Intermountain Health Addiction Medicine & Recovery Clinic - Logan
NPI
1104461060
Phone
Not provided
Address
PO BOX 27128
Authorized Official
DR. JP VALIN EVP CHIEF CLINICAL OFFICER MD
Enumeration Date
14 November 2019
Last Update Date
3 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness80
Years active:6State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Intermountain Health Addiction Medicine & Recovery Clinic - Logan

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone:

    Type: Mailing

  • 550 E 1400 N STE T

    LOGAN, UT 843412407

    Phone: (435) 716-1664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84127)

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Reviews

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Frequently asked questions

What number should I use to identify Intermountain Health Addiction Medicine & Recovery Clinic - Logan for billing?
Administrative and clinical systems typically use NPI 1104461060 for Intermountain Health Addiction Medicine & Recovery Clinic - Logan.
Should I treat Intermountain Health Addiction Medicine & Recovery Clinic - Logan as an active provider?
Patients and plans typically see Intermountain Health Addiction Medicine & Recovery Clinic - Logan as active in the national extract.
What services align with Intermountain Health Addiction Medicine & Recovery Clinic - Logan's listing?
Intermountain Health Addiction Medicine & Recovery Clinic - Logan's public classification highlights Methadone Clinic. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Intermountain Health Addiction Medicine & Recovery Clinic - Logan?
Intermountain Health Addiction Medicine & Recovery Clinic - Logan is associated with Salt Lake City, Utah in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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