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Contact Information

UHS PROVO CANYON INC
4501 N UNIVERSITY AVE
PROVO, UT84604-5504
 Phone: 800-848-9819
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Residential Treatment Facility

323P00000X
Indicates primary specialty

NPI Profile & details for UHS PROVO CANYON INC

NPI Number 1609843523
LBN Legal business name UHS PROVO CANYON INC
Authorized official STEVE FILTON - (CFO/ SR VP)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2006
Last updated 12/03/2014 - About 12 years ago
Identifiers
UT License # 11043
UT License # 3699
UT License # 3701
NM Medicaid 000M0056
UT Medicaid 131599140
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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