Organization
UHS PROVO CANYON INC
Active
Other names
Provo Canyon School springville Campus
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
763 N 1650 W, SPRINGVILLE, UT 84663-5066
(801) 227-2100
Mailing address
763 N 1650 W, SPRINGVILLE, UT 84663-5066
(801) 227-2100
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
12218/12219
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131599140
—
UT
Enumeration date
05/11/2015
Last updated
05/11/2015
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