Healthcare Provider Details

I. General information

NPI: 1659178564
Provider Name (Legal Business Name): CRIMSON HEIGHTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1854 W STONEBRIDGE DR UNIT 42
ST GEORGE UT
84770-5412
US

IV. Provider business mailing address

340 E 600 S
SAINT GEORGE UT
84770-3949
US

V. Phone/Fax

Practice location:
  • Phone: 435-705-7574
  • Fax:
Mailing address:
  • Phone: 435-705-7574
  • Fax: 435-249-7010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: RYAN R RUUD
Title or Position: PRESIDENT / OWNER
Credential:
Phone: 435-705-7574