Organization Active NPI

Discovery Ranch South

  • Psychiatric Residential Treatment Facility
  • Cedar City, UT
National Provider Identifier
1508207630
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
DISCOVERY RANCH SOUTH
Doing business as
Discovery Ranch for Girls
Practice address
4928 N 4500 W
Cedar City, UT 84721-5632
Phone
(801) 491-2270
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Andrea Burgess
Title
Executive Director
Phone
(801) 491-2270

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 21049 UT
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

4928 N 4500 W
Cedar City, UT 84721-5632

Mailing address

757 S Main St
Springville, UT 84663-2452
Phone (801) 491-2270

Other names 1

  • Discovery Ranch for Girls Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2163067Discovery Ranch South4928 N 4500 W, Cedar City, UT 84721Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

Locations

4928 N 4500 W
Cedar City, UT 84721
Phone (801) 491-2270

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": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1508207630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 S MAIN ST",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846632452",
            "telephone_number": "801-491-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4928 N 4500 W",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847215632",
            "telephone_number": "801-491-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY RANCH SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-491-2270"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "21049",
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery Ranch for Girls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.