Uinta Academy Lc
Psychiatric Residential Treatment Facility in Wellsville, UT. Organization (NPI-2).
NPI number1457585754
StatusActive
Last updated in NPPESApr 5, 2010
Details
- NPI
- 1457585754
- Entity type
- Organization (NPI-2)
- Legal business name
- Uinta Academy Lc
- Organization subpart
- No
- Enumeration date
- May 14, 2009
- Last updated
- Apr 5, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 323P00000X | Psychiatric Residential Treatment Facility | 14237 | UT | Yes |
Practice location
3746 So. 4800 W.Wellsville, UT 84339
Phone 435-245-2600 · Fax 435-245-2605
Mailing address
Po Box 387Wellsville, UT 84339
Phone 435-245-2600 · Fax 435-245-2605
Authorized official
Robert Jeffrey Simpson
Executive Director
4352452600
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