Provo Canyon School

LBN: Universal Healthservices Inc.
Provo Canyon School is an health care organization with primary practice located at 1350 E 750 N North Orem Medicaid, Orem UT 84097-4345. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Universal Healthservices Inc. can be contacted via phone (801) 227-2100, or through Cottle, Jeremy via phone (801) 229-1036.

Contact Information

Primary practice address
1350 E 750 N North Orem Medicaid Orem UT 84097-4345
Phone: (801) 227-2100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cottle, Jeremy PHD
Phone: (801) 229-1036

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 126677-3902 Utah

Profile Details

NPI number 1073829057
LBN Legal business name Universal Healthservices Inc.
DBA Doing business as Provo Canyon School
Authorized official Cottle, Jeremy PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2010
Last updated Aug 27th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073829057 NPPES
Utah MEDICAID 1609843523

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