CROSS CREEK MANOR – NPI #1780900464
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

CROSS CREEK MANOR is a substance abuse rehabilitation facility located in LA VERKIN, UT. NPPES has assigned the NPI number 1780900464 to CROSS CREEK MANOR on April 20, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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

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 CROSS CREEK MANOR below.

NPI Profile for
CROSS CREEK MANOR

NPI Number
1780900464
Enumeration Date

(more than 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
CROSS CREEK MANOR
Primary location
50 S STATE ST
LA VERKIN, UT 84745-5443
Phone: (435) 635-2390 Fax: (435) 635-2778
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DERRICK ESPLIN
CPA
Phone: (435) 635-2390
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
323P00000X
- Psychiatric Residential Treatment Facility		 UT
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children		 UT

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.