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DISCOVERY RANCH SOUTH NPI 1508207630


NPI Information

NPI: 1508207630
Provider Name: DISCOVERY RANCH SOUTH

Doing Business As: DISCOVERY RANCH FOR GIRLS

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization

CLIA Number: 46D2163067

Address:
4928 N 4500 W
CEDAR CITY, UT
ZIP 84721
Phone: (801) 491-2270
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DISCOVERY RANCH SOUTH is a residential treatment facility emotionally disturbed children in Cedar City, 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. DISCOVERY RANCH SOUTH NPI is 1508207630. The provider is registered as an organization entity type.
The provider Is Doing Business As Discovery Ranch For Girls.

The provider's business location address is:

4928 N 4500 W
CEDAR CITY, UT
ZIP 84721-632
Phone: (801) 491-2270

The provider's authorized official is Rachael Spaulding .
The authorized official title is Account Manager and has the following contact phone number (801) 491-2270.

The CLIA number assigned to this NPI record is 46D2163067 - other - residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2013 and was last updated on 3/28/2023.


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 Children21049UTAHYes

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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