Healthcare Provider Details

I. General information

NPI: 1417799958
Provider Name (Legal Business Name): HARPER CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 W 1600 N
OREM UT
84057-2431
US

IV. Provider business mailing address

727 E 1100 S
MAPLETON UT
84664-5016
US

V. Phone/Fax

Practice location:
  • Phone: 801-472-5451
  • Fax:
Mailing address:
  • Phone: 801-427-9684
  • Fax: 801-489-9871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE HARPER
Title or Position: CEO
Credential: CEO
Phone: 801-427-9684