Cirque Lodge Inc.

LBN: Cirque Lodge Inc.
Cirque Lodge Inc. is an health care organization with primary practice located at 777 N Palisades Dr , Orem UT 84097-4341. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Cirque Lodge Inc. can be contacted via phone (801) 222-9200, or through Fisher, Gary via phone (801) 222-9200.

Contact Information

Primary practice address
777 N Palisades Dr Orem UT 84097-4341
Phone: (801) 222-9200
Fax: (801) 222-0112
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Gary
Phone: (801) 222-9200

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 12370 Utah

Profile Details

NPI number 1912108242
LBN Legal business name Cirque Lodge Inc.
DBA Doing business as
Authorized official Fisher, Gary
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Nov 26th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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