Organization
PHC OF UTAH, INC.
Active
Other names
Highland Ridge Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P. FARLEY (VP & SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
7309 S 180 W, MIDVALE, UT 84047-1020
(801) 569-2153
(801) 567-9006
Mailing address
6100 TOWER CIR STE 1000, FRANKLIN, TN 37067-1509
(615) 861-6000
(615) 261-9685
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
2006HOSP184
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000075379
MEDICARE PTAN
UT
Enumeration date
08/11/2006
Last updated
08/26/2023
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