Organization Active NPI

Utah State University

  • Developmentally Disabled Services Day Training Agency
  • Moab, UT
National Provider Identifier
1144531419
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
UTAH STATE UNIVERSITY
Practice address
150 E Center St
Moab, UT 84532-2430
Phone
(435) 797-7461
Fax
(435) 797-0090
NPI assigned
Jul 1, 2010
Last updated
Aug 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Susan Thain Olsen
Title
Division Director
Phone
(435) 797-7461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

150 E Center St
Moab, UT 84532-2430

Mailing address

6810 Old Main HL
Logan, UT 84322-6810

National Provider Directory

National Provider Directory
Tax ID family
Utah State University Center for Persons With Disabilities12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

150 E Center St
Moab, UT 84532
Phone (435) 797-7461

451 E 400 N
Price, UT 84501
Phone (435) 262-0216

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1144531419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 OLD MAIN HL",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843226810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E CENTER ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322430",
            "telephone_number": "435-797-7461",
            "fax_number": "435-797-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "THAIN",
        "authorized_official_title_or_position": "DIVISION DIRECTOR",
        "authorized_official_telephone_number": "435-797-7461"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.