CIRQUE LODGE INC – NPI #1437692241
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CIRQUE LODGE INC is a substance abuse rehabilitation facility located in SUNDANCE, UT. NPPES has assigned the NPI number 1437692241 to CIRQUE LODGE INC on November 28, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

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 CIRQUE LODGE INC below.

NPI Profile for
CIRQUE LODGE INC

NPI Number
1437692241
Enumeration Date

(more than 9 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
CIRQUE LODGE INC
Primary location
3114 E IDA'S ROAD
SUNDANCE, UT 84604
Phone: (801) 222-9200 Fax: (801) 222-0112
Mailing address
RR 3 BOX A10
SUNDANCE, UT 84604-8901
Phone: (801) 222-9200 Fax: (801) 222-0112
Organization Subpart
No
Authorized Official
GARY FISHER
EXECUTIVE DIRECTOR
Phone: (801) 222-9200
Updated
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
UT 28275

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.