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Contact Information

HIGH TOP RANCH SCHOOL
2860 S. HWY 62
KOOSHAREM, UT84744
 Phone: 435-638-7411
 Fax: 435-638-7511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Based Residential Treatment Facility, Mental Illness

320800000X
Indicates primary specialty

NPI Profile & details for HIGH TOP RANCH SCHOOL

NPI # 1447287669
LBN Legal business name HIGH TOP RANCH SCHOOL
Authorized official JUSTIN SORENSON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
UT License # 11645
UT Medicaid 788007789164
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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