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RHA HEALTH SERVICE UT LLC NPI 1629447370


NPI Information

NPI: 1629447370
Provider Name: RHA HEALTH SERVICE UT LLC

Doing Business As: EAST SIDE CENTER

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
650 S UNIVERSITY ST
SALT LAKE CITY, UT
ZIP 84102
Phone: (801) 582-2195
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RHA HEALTH SERVICE UT LLC is a residential treatment facility, intellectual and/or developmental 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 developmental and intellectual disabilities and are not able to live independently. RHA HEALTH SERVICE UT LLC NPI is 1629447370. The provider is registered as an organization entity type.
The provider Is Doing Business As East Side Center.

The provider's business location address is:

650 S UNIVERSITY ST
SALT LAKE CITY, UT
ZIP 84102-213
Phone: (801) 582-2195
Fax: (801) 582-3901

The provider's authorized official is Christine L Christensen .
The authorized official title is Director Of Operations and has the following contact phone number (801) 763-9299.

The enumeration date for this NPI number is 9/23/2015 and was last updated on 9/25/2015.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities2015SHCF-22UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12015-SHVF-158MEDICAIDUTAH
246D0977163OTHERUTAHCLIA

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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