RHA COMMUNITY SERVICES OF UTAH NPI 1033118674

NPI Information

NPI: 1033118674
Provider Name: RHA COMMUNITY SERVICES OF UTAH

Other Name: NORTH SIDE CENTER

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

Address:
340 N 100 W
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 292-6797
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RHA COMMUNITY SERVICES OF UTAH is an intermediate care facility mentally retarded in Bountiful, UT. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. RHA COMMUNITY SERVICES OF UTAH NPI is 1033118674. The provider is registered as an organization entity type.
The provider Other Name Is North Side Center.

The provider's business location address is:

340 N 100 W
BOUNTIFUL, UT
ZIP 84010-054
Phone: (801) 292-6797
Fax: (801) 295-3660

The provider's authorized official is Scott Robert Conover .
The authorized official title is Administrator and has the following contact phone number (801) 292-6797.

The CLIA number assigned to this NPI record is 46D0980693 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2005 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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		2005-SHCF-344	UTAH	Yes

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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