Metamorphosis Salt Lake City, Inc.
NPI 1346495298 · Methadone Clinic · Salt Lake City, UT
Metamorphosis Salt Lake City, Inc. is a Methadone Clinic organization in Salt Lake City, UT (NPI 1346495298).
Provider details
- NPI number
- 1346495298
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Costley, Chief Operating Office(801) 261-5790
- License
- 5863251-8913 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-11-19
- Last updated
- 2008-11-19
Frequently asked questions
- What is Metamorphosis Salt Lake City, Inc.'s NPI number?
- Metamorphosis Salt Lake City, Inc.'s National Provider Identifier (NPI) is 1346495298, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Metamorphosis Salt Lake City, Inc.?
- Metamorphosis Salt Lake City, Inc. is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Metamorphosis Salt Lake City, Inc. located?
- Metamorphosis Salt Lake City, Inc.'s practice location on file with NPPES is 339 E 3900 S, Salt Lake City, UT 84107-1677.
- What is Metamorphosis Salt Lake City, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Metamorphosis Salt Lake City, Inc. is (801) 261-5790.
- Who is the authorized official for Metamorphosis Salt Lake City, Inc.?
- The authorized official listed on Metamorphosis Salt Lake City, Inc.'s NPPES record is Jerry Costley, Chief Operating Office. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Metamorphosis Salt Lake City, Inc.'s NPI active?
- Yes — Metamorphosis Salt Lake City, Inc.'s NPI (1346495298) is active in the NPPES registry as of the last update on 2008-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.