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VALLEY MENTAL HEALTH INCORPORATED NPI 1316009228


NPI Information

NPI: 1316009228
Provider Name: VALLEY MENTAL HEALTH INCORPORATED

Other Name: VMH - PHEASANT HOLLOW

Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
4125 S 900 E
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 743-6111
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VALLEY MENTAL HEALTH INCORPORATED is a residential treatment facility physical disabilities in Salt Lake City, UT. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. VALLEY MENTAL HEALTH INCORPORATED NPI is 1316009228. The provider is registered as an organization entity type.
The provider Other Name Is Vmh - Pheasant Hollow.

The provider's business location address is:

4125 S 900 E
SALT LAKE CITY, UT
ZIP 84124-112
Phone: (801) 743-6111

The provider's authorized official is Gary G Larcenaire .
The authorized official title is Chief Executive Officer and has the following contact phone number (801) 263-7186.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 1/21/2021.


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
1320700000XResidential Treatment Facility, Physical Disabilities12009UTAHYes

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: 11/14/2023

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