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SAN JUAN SCHOOL DISTRICT NPI 1114939139


NPI Information

NPI: 1114939139
Provider Name: SAN JUAN SCHOOL DISTRICT
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 46D2202436

Address:
200 N MAIN ST
BLANDING, UT
ZIP 84511
Phone: (435) 678-1803
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SAN JUAN SCHOOL DISTRICT is a day training developmentally disabled services in Blanding, UT. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. SAN JUAN SCHOOL DISTRICT NPI is 1114939139. The provider is registered as an organization entity type.

The provider's business location address is:

200 N MAIN ST
BLANDING, UT
ZIP 84511-600
Phone: (435) 678-1803
Fax: (435) 678-1390

The provider's authorized official is Anthony Done .
The authorized official title is Special Education Director and has the following contact phone number (435) 678-1222.

The CLIA number assigned to this NPI record is 46D2202436 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesN/AYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1876000545628MEDICAIDUTAH

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: 5/5/2024

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