PHC of Utah, Inc.

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

PHC OF UTAH, INC.

Doing business as

Highland Ridge Hospital

Practice address

7309 S 180 W
Midvale, UT 84047-1020

Phone

(801) 569-2153

Fax

(801) 567-9006

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Brian P. Farley

Title

Vice President & Secretary

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Other names 1

• Highland Ridge Hospital Doing business as

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693008000000",
    "number": "1215587092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 TOWER CIR STE 1000",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370671509",
            "telephone_number": "615-861-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 S 180 W",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471020",
            "telephone_number": "801-569-2153",
            "fax_number": "801-567-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHC OF UTAH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2023-08-26",
        "certification_date": "2023-08-26",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Ridge Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highland Ridge Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bonnie L. Peters, LCSW
• Carli Kae Petersen
• Edward Chase Peterson, LCSW, MBA
• Kaylee Ray Peterson, FNP-C
• Rosemary Inger Pettersen, LCSW
• PHC of Utah, Inc. (Highland Ridge Hospital)
• Physical Therapy Recovery LLC (Physical Therapy Recovery)
• Jessica Ann Pierce
• Matthew Pierce, PA-C
• Plastic Surgery Institute of Utah (Doctor/Owner)

• Psychiatric Residential Treatment Facility in Midvale, UT
• Providers in Midvale, UT by specialty
• Psychiatric Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2023; 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.