NPIMap

Organization Active NPI

Provo City School District

  • Developmentally Disabled Services Day Training Agency
  • Provo, UT
National Provider Identifier
1205845609
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PROVO CITY SCHOOL DISTRICT
Practice address
100 N 600 E
Provo, UT 84606-3315
Phone
(801) 374-4965
Fax
(801) 374-4881
NPI assigned
Aug 5, 2006
Last updated
Jul 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Ms. Pamela Jean Colson
Title
Facilitator
Phone
(801) 374-4965

Specialties & licenses 1

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

Addresses

Primary practice location

100 N 600 E
Provo, UT 84606-3315

Mailing address

100 N 600 E
Provo, UT 84606-3315
Phone (801) 374-4965

Other identifiers 1

IdentifierTypeStateIssuer
HT000004MedicaidUT

Other names 1

  • Provo Early Education Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Central Utah Enterprises3 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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1205845609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 600 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063315",
            "telephone_number": "801-374-4965",
            "fax_number": "801-374-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 600 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063315",
            "telephone_number": "801-374-4965",
            "fax_number": "801-374-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVO CITY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "COLSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "FACILITATOR",
        "authorized_official_telephone_number": "801-374-4965",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HT000004",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provo Early Education Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.