PROVO CANYON SCHOOL – NPI #1073829057
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

PROVO CANYON SCHOOL is a residential treatment facility located in OREM, UT. NPPES has assigned the NPI number 1073829057 to PROVO CANYON SCHOOL on August 27, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROVO CANYON SCHOOL” is a dba name, the actual legal business name for this organization is UNIVERSAL HEALTHSERVICES INC.. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVO CANYON SCHOOL below.

NPI Profile for
UNIVERSAL HEALTHSERVICES INC.

NPI Number
1073829057
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UNIVERSAL HEALTHSERVICES INC.
Doing Business As (dba): PROVO CANYON SCHOOL
Primary location
1350 E 750 N
NORTH OREM MEDICAID
OREM, UT 84097-4345
Phone: (801) 227-2100 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEREMY COTTLE
CEO
Phone: (801) 229-1036
Updated
Identifiers

Identifiers for PROVO CANYON SCHOOL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDUT1609843523
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)		 UT 126677-3902

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.