National Provider Identifier Database

THISTLE CREEK RANCH
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

THISTLE CREEK RANCH
14048 SOUTH HIGHWAY 89
SPANISH FORK, UT84660
Phone: 801-873-3199
Fax: 801-873-3507
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for THISTLE CREEK RANCH

NPI Number 1356772537
Legal business name
LBN
THISTLE CREEK RANCH
Authorized official SETH RIDDLE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/12/2013
Last updated 12/12/2013 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 4381

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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