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Contact Information

STILLWATER ACADEMY
11175 S REDWOOD RD
SOUTH JORDAN, UT84095-8208
 Phone: 801-484-9911
 Fax: 801-676-4150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Residential Treatment Facility

323P00000X
Indicates primary specialty

NPI Profile & details for STILLWATER ACADEMY

NPI Number 1780004192
LBN Legal business name STILLWATER ACADEMY
Authorized official JAMIE CALDWELL - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2014
Last updated 09/11/2025 - About 9 months ago
Identifiers
UT License # 3732
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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