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Contact Information

PINE RIDGE BEHAVIORAL HEALTH LLC
10380 EAST 22000 NORTH
FAIRVIEW, UT84629
 Phone: 435-469-0342
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Based Residential Treatment Facility, Mental Illness

320800000X
Indicates primary specialty

NPI Profile & details for PINE RIDGE BEHAVIORAL HEALTH LLC

NPI Number 1366863185
LBN Legal business name PINE RIDGE BEHAVIORAL HEALTH LLC
Authorized official JAMES CHENEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2013
Last updated 06/18/2024 - More than a year ago
Identifiers
UT License # 21289
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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