NPIMap

Organization Active NPI

Provo Canyon School

  • Foster Care Agency
  • Orem, UT
National Provider Identifier
1215214788
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
PROVO CANYON SCHOOL
Practice address
1317 E 750 N
Orem, UT 84097-5480
Phone
(801) 227-2165
NPI assigned
Nov 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Sheri Corona
Title
Supervisor
Phone
(801) 223-7117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

1317 E 750 N
Orem, UT 84097-5480

Mailing address

PO Box 340
Orem, UT 84059-0340

National Provider Directory

National Provider Directory
Tax ID family
Provo Canyon School7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1215214788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840590340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 E 750 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975480",
            "telephone_number": "801-227-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVO CANYON SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "801-223-7117"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.