CIRQUE LODGE INC. – NPI #1912108242
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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

CIRQUE LODGE INC. is a substance abuse rehabilitation facility located in OREM, UT. NPPES has assigned the NPI number 1912108242 to CIRQUE LODGE INC. on May 31, 2007. 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.

The NPI profile was previously updated about 10 years ago on Nov 26, 2016. 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
1912108242
Enumeration Date

(more than 19 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
777 N PALISADES DR
OREM, UT 84097-4341
Phone: (801) 222-9200 Fax: (801) 222-0112
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GARY FISHER
DIRECTOR OF OPERATIONS
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 12370

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.