Cascade Academy
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Midway, UT
NPI 1003430133 · NPPES record last updated Jun 4, 2020
Key facts
- NPI
- 1003430133
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Legal business name
- CASCADE ACADEMY
- Practice address
- 430 W 200 N
Midway, UT 84049 - Phone
- (435) 562-5800
- NPI assigned
- Jun 4, 2020
- Organization subpart
- No
Authorized official
- Name
- Brad Gerrard
- Title
- Executive Director
- Phone
- (801) 655-3886
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2212958 | Cascade Academy, LLC | Certificate of waiver | Feb 8, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Yes |
Addresses
Primary practice location
430 W 200 N
Midway, UT 84049
Mailing address
PO Box 1145
Midway, UT 84049-1145
Phone (435) 562-5800
Other providers in Midway, UT
- Judith Kapler Bishop
- Sabina Jolanta Boies
- Jack L Brauer
- Cannon Therapeutic
- Hannah Carter
- Neil Drew Christensen
- ZD Chudyba
- Krista Jean Clark
- Jack L Cox
- Diamond Springs Wellness Center PC
All providers in Midway, UT · Emotionally Disturbed Childrens' Residential Treatment Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.