UTAH STATE DEVELOPMENTAL CENTER NPI 1689674301

NPI Information

  • NPI: 1689674301
  • Provider Name: UTAH STATE DEVELOPMENTAL CENTER
  • Classification: Intermediate Care Facility, Mental Illness - 310500000X
  • Entity Type: Organization
  • CLIA Number: 46D0683172
  • Address: 895 N. 900 E.
    AMERICAN FORK, UT
    ZIP 84003
  • Phone: (801) 763-4000

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NPI Details

UTAH STATE DEVELOPMENTAL CENTER is an intermediate care facility mental illness in American Fork, UT. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. UTAH STATE DEVELOPMENTAL CENTER NPI is 1689674301. The provider is registered as an organization entity type.

The provider's business location address is:

895 N. 900 E.
AMERICAN FORK, UT
ZIP 84003-199
Phone: (801) 763-4000
Fax: (801) 763-4073

The provider's authorized official is Karen Clarke .
The authorized official title is Superintendent and has the following contact phone number (801) 763-4091.

The CLIA number assigned to this NPI record is 46D0683172 - intermediate care facility for mentally retarded with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/22/2005 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
1310500000XIntermediate Care Facility, Mental Illness2004-NCF-95UTAHYes

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: 11/21/2025

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