UHS PROVO CANYON INC (NPI# 1609843523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609843523 |
| Entity Type | Organization |
| Organization Name | UHS PROVO CANYON INC |
| Other Organization Name | PROVO CANYON SCHOOL |
| Practice Address |
4501 N University Ave Provo UT 84604-5504 |
| Practice Telephone | 8008489819 |
| Mailing Telephone | 8008489819 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | STEVE FILTON (CFO/ SR VP) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | 3701 | UT | Residential Treatment Facilities |
| N | 323P00000X | Psychiatric Residential Treatment Facility | 3699 | UT | Residential Treatment Facilities |
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 11043 | UT | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 131599140 | 05 | |
| NM | 000M0056 | 05 |
| Other Name | Type Code |
|---|---|
| Provo Canyon School | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427436401 | Uhs Provo Canyon Inc | Psychiatric Residential Treatment Facility | 763 N 1650 W, Springville, UT 84663-5066 | 2015-05-11 |
| Street Address |
4501 N UNIVERSITY AVE |
| City | PROVO |
| State | UT |
| Zip Code | 84604-5504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093334070 | Steve Murdock | Counselor | 4501 N University Ave, Provo, UT 84604-5504 | 2020-04-10 |
| 1407482482 | Laraine Murdock | Social Worker | 4501 N University Ave, Provo, UT 84604-5504 | 2020-03-21 |
| 1881237352 | Lauren Owens | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-28 |
| 1659914356 | Tack D Macgregor | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
| 1457994162 | Timothy W Bartell | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
| 1346883915 | Jone Lokahi D.t.l. Vuikadavu | Counselor | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-25 |
| 1255974085 | Universal Health Systems | Community Based Residential Treatment Facility, Mental Illness | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-24 |
| 1619510575 | Shawn Kraling | Licensed Practical Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-23 |
| 1851934707 | Vicky Suruky | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2019-10-23 |
| 1164907317 | Sharron Marie Lundeen | Registered Nurse | 4501 N University Ave, Provo, UT 84604-5504 | 2018-10-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578699468 | Heritage Schools, Inc | Psychiatric Residential Treatment Facility | 5600 N. Heritage School Drive, Provo, UT 84604 | 2007-02-26 |
| 1750847000 | Scenic View Academy, Inc. | Psychiatric Residential Treatment Facility | 5455 River Run Dr, Provo, UT 84604-7726 | 2019-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872724 | Care Youth Corporation-lava Heights | Psychiatric Residential Treatment Facility | 730 East Spring Drive, Toquerville, UT 84774-7742 | 2020-08-19 |
| 1053946095 | Recovery Innovations Inc | Psychiatric Residential Treatment Facility | 2411 S 1070 W Ste B, West Valley City, UT 84119-1570 | 2020-03-10 |
| 1518460369 | Uinta Academy Rtc, LLC | Psychiatric Residential Treatment Facility | 3746 S 4800 W, Wellsville, UT 84339-9785 | 2018-03-16 |
| 1679085963 | Zion Hills Academy, Inc. | Psychiatric Residential Treatment Facility | 5088 Veterans Memorial Dr, Enoch, UT 84721-7826 | 2017-10-26 |
| 1174051072 | Bridge House | Psychiatric Residential Treatment Facility | 235 S 200 E, Farmington, UT 84025-2320 | 2017-05-23 |
| 1568900116 | Maple Lake Academy for Boys | Psychiatric Residential Treatment Facility | 6612 S 3200 W, Benjamin, UT 84660-4123 | 2017-02-03 |
| 1619412046 | Awakening Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 2973 W 13800 S, Bluffdale, UT 84065-8202 | 2016-12-20 |
| 1245787324 | Sequel Youth Services of Lava Heights | Psychiatric Residential Treatment Facility | 730 E. Spring Drive, Toquerville, UT 84774 | 2016-09-06 |
| 1295188209 | Care Youth Corporation | Psychiatric Residential Treatment Facility | 750 E Sr 9, Virgin, UT 84779-7726 | 2016-07-14 |
| 1184089013 | Ut-tex, Inc | Psychiatric Residential Treatment Facility | 3149 E 9800 S, Sandy, UT 84092-4213 | 2015-12-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.