UTAH STATE UNIVERSITY NPI 1174694095

NPI Information

  • NPI: 1174694095
  • Provider Name: UTAH STATE UNIVERSITY
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Other Name: CENTER FOR PERSONS WITH DISABILITIES
  • Address: 6802 OLD MAIN HILL
    LOGAN, UT
    ZIP 84322
  • Phone: (435) 797-2750

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NPI Details

UTAH STATE UNIVERSITY is a developmental disabilities clinic center in Logan, UT. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). UTAH STATE UNIVERSITY NPI is 1174694095. The provider is registered as an organization entity type.
The provider Other Name Is Center For Persons With Disabilities.

The provider's business location address is:

6802 OLD MAIN HILL
LOGAN, UT
ZIP 84322
Phone: (435) 797-2750
Fax: (435) 797-4054

The provider's authorized official is Kathryn Clements .
The authorized official title is Financial Officer and has the following contact phone number (435) 797-5830.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 8/28/2018.

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
1261QD1600XClinic/CenterDevelopmental DisabilitiesUTAHYes

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
1=========059MEDICAIDUTAH

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: 3/30/2025

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