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UNIVERSAL HEALTHSERVICES INC. NPI 1073829057


NPI Information

NPI: 1073829057
Provider Name: UNIVERSAL HEALTHSERVICES INC.

Doing Business As: PROVO CANYON SCHOOL

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1350 E 750 N
NORTH OREM MEDICAID
OREM, UT
ZIP 84097
Phone: (801) 227-2100
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UNIVERSAL HEALTHSERVICES INC. is a residential treatment facility emotionally disturbed children in Orem, UT. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. UNIVERSAL HEALTHSERVICES INC. NPI is 1073829057. The provider is registered as an organization entity type.
The provider Is Doing Business As Provo Canyon School.

The provider's business location address is:

1350 E 750 N
NORTH OREM MEDICAID
OREM, UT
ZIP 84097-345
Phone: (801) 227-2100

The provider's authorized official is Jeremy Cottle .
The authorized official title is Ceo and has the following contact phone number (801) 229-1036.

The enumeration date for this NPI number is 8/27/2010 and was last updated on 8/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children126677-3902UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11609843523MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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