Eagle Ranch Academy

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

12753 Issued in UT

Legal business name

EAGLE RANCH ACADEMY

Practice address

115 W 1470 S
St George, UT 84770-6763

Phone

(435) 652-8488

Fax

(435) 652-9959

NPI assigned

Jul 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul Arslanian

Title

Director

Phone

(435) 652-8488

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Eagle Ranch Outpatient Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Eagle Ranch Academy

  • Community/Behavioral Health Agency
  • St George, UT
  • NPI 1386194751
  NPD tax ID
• Eagle Ranch Outpatient Services

  • Community/Behavioral Health Agency
  • St George, UT
  • NPI 1235682345
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darrell Benson, LCSW

  • Clinical Social Worker
  • St George, UT
  • NPI 1902398225
  NPD (past)
• Joy Annie Weippert, LCSW

  • Clinical Social Worker
  • St George, UT
  • NPI 1497053573
  NPD (past)
• Shannon Marie Woolf, LCPC

  • Mental Health Counselor
  • Billings, MT
  • NPI 1447680186
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003014648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 1470 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706763",
            "telephone_number": "435-652-8488",
            "fax_number": "435-652-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 1470 S",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847706763",
            "telephone_number": "435-652-8488",
            "fax_number": "435-652-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE RANCH ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARSLANIAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "435-652-8488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "UT",
            "license": "12753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma-Marie Dyorich
• E.Jones Legacy Care Homes
• Megan Eads, RN
• Bryce Eagar, DDS
• Michael Eagar
• Eagle Ranch Academy
• Eagle Ranch Outpatient Services
• Kyle James Eardley, PA-C
• Mason Eardley
• Darren Boyd Earl, DMD

• Children's Substance Abuse Rehabilitation Facility in St George, UT
• Providers in St George, UT by specialty
• Children's Substance Abuse Rehabilitation Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.