PHC OF UTAH, INC. (NPI# 1871504159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871504159 |
| Entity Type | Organization |
| Organization Name | PHC OF UTAH, INC. |
| Other Organization Name | HIGHLAND RIDGE HOSPITAL |
| Practice Address |
7309 S 180 W Midvale UT 84047-1020 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 8015692153 |
| Practice Fax Number | 8015679006 |
| Mailing Telephone | 6158616000 |
| Mailing Fax Number | 6152619685 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-09-13 |
| Authorized Official Name | MR. CHRISTOPHER L HOWARD (VP & SECRETARY) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 2006HOSP184 | UT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | MEDICARE PTAN | U000075379 | 01 |
| Other Name | Type Code |
|---|---|
| Highland Ridge Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587092 | Phc of Utah, Inc. | Psychiatric Residential Treatment Facility | 7309 S 180 W, Midvale, UT 84047-1020 | 2019-09-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PHC OF UTAH, INC. | 830 Crescent Centre Drive, Suite 610, Franklin, TN 37067 |
| Street Address |
7309 S 180 W |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260506 | Robert Brian Connor | Psychiatry & Neurology | 7309 S 180 W, Midvale, UT 84047-1020 | 2005-10-24 |
| 1215587092 | Phc of Utah, Inc. | Psychiatric Residential Treatment Facility | 7309 S 180 W, Midvale, UT 84047-1020 | 2019-09-13 |
| 1306407119 | Tiffany Youngberg | Counselor | 7309 S 180 W, Midvale, UT 84047-1020 | 2019-06-24 |
| 1912435421 | Kyle Olson | Nurse Practitioner | 7309 S 180 W, Midvale, UT 84047-1020 | 2017-05-28 |
| 1699121913 | Kristen Mari Brown | Nurse Practitioner | 7309 S 180 W, Midvale, UT 84047 | 2016-05-05 |
| 1033513429 | Dr Robert Connor PC | Psychiatry & Neurology | 7309 S 180 W, Midvale, UT 84047-1020 | 2014-10-15 |
| 1649568452 | Anni Butterfield | Social Worker | 7309 S 180 W, Midvale, UT 84047-1020 | 2011-07-13 |
| 1205124021 | Nancy Lieu | Social Worker | 7309 S 180 W, Midvale, UT 84047-1020 | 2011-07-13 |
| 1679752422 | Lezli Burt | Social Worker | 7309 S 180 W, Midvale, UT 84047-1020 | 2007-10-29 |
| 1235100413 | Gail Joanne Liese | Psychologist | 7309 S 180 W, Midvale, UT 84047-1020 | 2006-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518222496 | University Neuropsychiatric Institute | Psychiatric Hospital | 3789 S 700 W Apt 22, Salt Lake City, UT 84119-4164 | 2012-07-07 |
| 1184689580 | Uhs of Timpanogos, Inc | Psychiatric Hospital | 1790 N State St, Orem, UT 84057-2025 | 2006-04-19 |
| 1407832249 | Benchmark Behavioral Health System, Inc. | Psychiatric Hospital | 592 W 1350 S, Woods Cross, UT 84010-8180 | 2005-12-22 |
| 1811978620 | State of Utah | Psychiatric Hospital | 1300 E Center St, Provo, UT 84606-3554 | 2005-11-09 |
| 1740749415 | University of Utah | Psychiatric Hospital | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2019-03-13 |
| 1851880751 | Salt Lake Behavioral Health, LLC | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2018-05-07 |
| 1104363159 | University of Utah Neuropsychiatric Institute | Psychiatric Hospital | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2017-01-29 |
| 1538515903 | University of Utah | Psychiatric Hospital | 697 W 4170 S, Murray, UT 84123-1326 | 2016-05-04 |
| 1194102848 | Uni Home Program | Psychiatric Hospital | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-05-01 |
| 1104224872 | Uhs of Timpanogos, Inc | Psychiatric Hospital | 7050 S Highland Dr, Suite # 310, Cottonwood Heights, UT 84121-3749 | 2014-12-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PHC OF UTAH, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.