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Contact Information

KIDS BEHAVIORAL HEALTH OF UTAH, INC
5899 RIVENDELL DR
WEST JORDAN, UT84088-5700
 Phone: 801-561-3377
 Fax: 801-569-3274
 Website:
Indicates primary specialty

NPI Profile & details for KIDS BEHAVIORAL HEALTH OF UTAH, INC

NPI Number 1649380593
LBN Legal business name KIDS BEHAVIORAL HEALTH OF UTAH, INC
Authorized official STEVE FILTON - (SRVPCFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/30/2006
Last updated 03/30/2011 - About 15 years ago
Identifiers
UT License # 11944
AK Medicaid HS825PI
AZ Medicaid 596661
ND Medicaid 55513
NM Medicaid 98139363
NV Medicaid 006388500
WY Medicaid 117906300
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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