Provider Demographics
NPI:1013577543
Name:ECHO SPRINGS UTAH INC
Entity Type:Organization
Organization Name:ECHO SPRINGS UTAH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ANKNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-267-1111
Mailing Address - Street 1:3210 KOOTENAI TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:BONNERS FERRY
Mailing Address - State:ID
Mailing Address - Zip Code:83805-5721
Mailing Address - Country:US
Mailing Address - Phone:208-267-1111
Mailing Address - Fax:208-267-1122
Practice Address - Street 1:3625 HARRISON BLVD
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-2061
Practice Address - Country:US
Practice Address - Phone:208-267-1111
Practice Address - Fax:208-267-1122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty