NPIMap

Organization Active NPI

Uhs of Provo Canyon, Inc.

Doing business as Aspen Grove Behavioral Hospital

  • Psychiatric Hospital
  • Orem, UT
National Provider Identifier
1457617409
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
2012-HOSP-103338 Issued in UT
Legal business name
UHS OF PROVO CANYON, INC.
Doing business as
Aspen Grove Behavioral Hospital
Provo Canyon Behavioral Hospital
Practice address
1350 E 750 N
Orem, UT 84097-4345
Phone
(801) 227-2100
NPI assigned
Apr 4, 2012
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Steve Filton
Title
Cfo/SVP
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 2012-HOSP-103338 UT Primary

Addresses

Primary practice location

1350 E 750 N
Orem, UT 84097-4345

Mailing address

1350 E 750 N
Orem, UT 84097-4345

Other names 2

  • Aspen Grove Behavioral Hospital Doing business as
  • Provo Canyon Behavioral Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121015000587 UT Part B Supplier - Clinic/Group Practice 8729250543 Receives reassigned benefits from 21 practitioners
Practice locations: Orem, UT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1350 E 750 N
Orem, UT 84097
Phone (801) 229-1036

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1457617409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E 750 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E 750 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974345",
            "telephone_number": "801-227-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF PROVO CANYON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO/SVP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "UT",
            "license": "2012-HOSP-103338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Grove Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Provo Canyon Behavioral Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.