Healthcare Provider Details

I. General information

NPI: 1598056053
Provider Name (Legal Business Name): UHS OF PROVO CANYON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2011
Last Update Date: 05/23/2023
Certification Date: 05/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 E 750 NORTH
OREM UT
84097
US

IV. Provider business mailing address

1350 E 750 NORTH
OREM UT
84097
US

V. Phone/Fax

Practice location:
  • Phone: 215-487-4000
  • Fax:
Mailing address:
  • Phone: 215-487-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: SRVP CFO
Credential:
Phone: 610-768-3330