UHS OF PROVO CANYON INC (NPI# 1912341256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912341256 |
| Entity Type | Organization |
| Organization Name | UHS OF PROVO CANYON INC |
| Other Organization Name | PROVO CANYON PHARMACY |
| Practice Address |
1350 E 750 N Orem UT 84097-4345 |
| Practice Telephone | 8018523859 |
| Practice Fax Number | 8012272199 |
| Mailing Telephone | 8018523859 |
| Mailing Fax Number | 8012272199 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | STEVE HIGHT (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 8018523859 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
83428331704 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2139426 | 01 |
| Other Name | Type Code |
|---|---|
| Provo Canyon Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
| Street Address |
1350 E 750 N |
| City | OREM |
| State | UT |
| Zip Code | 84097-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071402 | Patricia Jean Bowling | Psychiatry & Neurology | 1350 E 750 N, Orem, UT 84097-4345 | 2005-05-24 |
| 1780194712 | Lorraine P Brimhall | Physician Assistant | 1350 E 750 N, Orem, UT 84097-4345 | 2017-10-04 |
| 1831520535 | Jeremy Cottle | Social Worker | 1350 E 750 N, Orem, UT 84097-4345 | 2013-12-05 |
| 1730529421 | Mitchell T Shepherd | Physician Assistant | 1350 E 750 N, Suite 1, Orem, UT 84097-4345 | 2013-06-27 |
| 1356695175 | Mardi Bruner Bartholdt | Clinical Nurse Specialist | 1350 E 750 N, Orem, UT 84097-4345 | 2012-10-31 |
| 1457617409 | Uhs of Provo Canyon, Inc. | Psychiatric Hospital | 1350 E 750 N, Orem, UT 84097-4345 | 2012-04-04 |
| 1073829057 | Universal Healthservices Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1350 E 750 N, North Orem Medicaid, Orem, UT 84097-4345 | 2010-08-27 |
| 1164737094 | Samuel W Hill | Marriage & Family Therapist | 1350 E 750 N, Orem, UT 84097-4345 | 2010-08-16 |
| 1922249242 | Provo Canyon School Inc | Psychiatric Residential Treatment Facility | 1350 E 750 N, Orem, UT 84097-4345 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700392735 | Scott Harris | Chiropractor | 1425 S State St, Orem, UT 84097 | 2017-12-28 |
| 1457870990 | Summit Laboratory Services | Pathology | 1480 East 820 North, Orem, UT 84097 | 2017-09-15 |
| 1144759275 | White Smiles Family Dentistry | Clinic/Center | 594 E 800 S Suite G, Orem, UT 84097 | 2017-06-12 |
| 1801322367 | Mallory Hendrickson | Assistant Behavior Analyst | 744 E 1650 S, Orem, UT 84097 | 2017-05-03 |
| 1841648664 | National Vision, Inc. | Technician/Technologist | 545 E University Pkwy, Ste 103, Orem, UT 84097 | 2016-06-02 |
| 1538435045 | Wasatch Mental Health | Case Management | 1127 N 1450 E, Orem, UT 84097 | 2012-03-29 |
| 1366720104 | Deseret Counseling Inc | Social Worker | 1325 South 800 East, Suite 115 Room 115 B, Orem, UT 84097 | 2011-07-27 |
| 1598056053 | Uhs of Provo Canyon Inc | Psychiatric Residential Treatment Facility | 1350 E 750 North, Orem, UT 84097 | 2011-05-02 |
| 1659677219 | Francisco Xavier Ampuero | Counselor | 1015 So. State Street, Bsmt. Office, Orem, UT 84097 | 2011-01-31 |
| 1275835449 | Pursonna Tuiletufuga | Counselor | 1160 South Main Street, Suite 180a, Orem, UT 84097 | 2010-11-22 |
| Find all providers in zip 84097 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
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| 1093346546 | Liberty Drug LLC | Pharmacy | 497 W 4800 S Ste 100, Murray, UT 84123-4663 | 2020-02-03 |
| 1124666854 | Global Medical Therapeutics Inc | Pharmacy | 1890 S 3850 W # 121b, Salt Lake City, UT 84104-4909 | 2019-12-12 |
| 1649816000 | Sojo Family Pharmacy Inc. | Pharmacy | 3583 W 9800 S Ste 101, South Jordan, UT 84095-3210 | 2019-11-20 |
| 1093287757 | P4 Pharmacy | Pharmacy | 2948 S Redwood Rd Ste 110, West Valley City, UT 84119-2323 | 2018-12-19 |
| 1518486349 | Roe Rx Inc | Pharmacy | 1812 N 2000 W Ste 9, Farr West, UT 84404-8060 | 2017-09-13 |
| 1942728084 | Cns Professional Services | Pharmacy | 2820 S Redwood Rd, Salt Lake City, UT 84119-2375 | 2017-09-08 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| Find all providers with the same taxonomy | ||||
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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.