EAGLE RANCH ACADEMY – NPI #1003014648
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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

EAGLE RANCH ACADEMY is a substance abuse rehabilitation facility located in SAINT GEORGE, UT. NPPES has assigned the NPI number 1003014648 to EAGLE RANCH ACADEMY on July 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 EAGLE RANCH ACADEMY below.

NPI Profile for
EAGLE RANCH ACADEMY

NPI Number
1003014648
Enumeration Date

(about 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
EAGLE RANCH ACADEMY
Primary location
115 W 1470 S
SAINT GEORGE, UT 84770-6763
Phone: (435) 652-8488 Fax: (435) 652-9959
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL ARSLANIAN
DIRECTOR
Phone: (435) 652-8488
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
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)		 UT 12753

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.