NPI 1013249713 ELEMENTS WILDERNESS PROGRAM SALT LAKE CITY UT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Elements Wilderness Program - NPI: 1013249713

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: ELEMENTS WILDERNESS PROGRAM
NPI Number: 1013249713
Entity Type Code: Organizational (2)
Authorized Official Name: MARY COVINGTON
(INSURANCE CONSULTANT)
Mailing Address: 130 N Main Street
Huntington
State: UT US
Postal Code: 84528
Phone Number: 8017123372
Fax Number:
NPI Enumeration Date: 02/04/2010
NPI Last Update Date: 02/04/2010
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 322D00000X
License Number: 15403
Healthcare Provider Taxonomy:
(Secondary)
Y
State: UT
Taxonomy Type: Residential Treatment Facilities
Taxonomy Classification: Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy Specialization:
Taxonomy Definition:
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.


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