NPIMap

Organization Active NPI

Uhs of Provo Canyon Inc

Doing business as Aspen Grove Behavioral Hospital

  • Psychiatric Hospital
  • Orem, UT
National Provider Identifier
1598056053
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
UHS OF PROVO CANYON INC
Doing business as
Aspen Grove Behavioral Hospital
Provo Canyon Behavioral Hospital
Practice address
1350 E 750 North
Orem, UT 84097
Phone
(215) 487-4000
NPI assigned
May 2, 2011
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
SRVP Cfo
Phone
(610) 768-3330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

1350 E 750 North
Orem, UT 84097

Mailing address

1350 E 750 North
Orem, UT 84097
Phone (215) 487-4000

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
O20111020000053 UT Part A Provider - Hospital 8729250543 1 other NPI on this enrollment
Practice locations: Orem, UT

Hospital certification: CCN 464014

Legal name
UHS OF PROVO CANYON INC
Doing business as
ASPEN GROVE BEHAVIORAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Feb 6, 2012
Last certification
Feb 6, 2012
Beds
80
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jun 2, 2000 in DE
Enrollment address
1350 E 750 N
Orem, UT 84097-4345
Main/Primary Hospital Location
Hospital subgroups
Psychiatric unit

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Aspen Grove Behavioral HospitalCCN 464014 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

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.

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George H Brunner Individual Corporate OfficerAssistant Secretary Aug 1, 2011 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerVice President and Secretary Aug 1, 2011 100%
Corporate DirectorVice President and Secretary Aug 1, 2011 33.3%
Jeremy Cottle Individual Contracted Managing EmployeeCeo Aug 1, 2011 100%
Corporate OfficerCeo Aug 1, 2011 100%
Thomas M Day Individual Corporate OfficerPresident Jul 20, 2021 100%
Corporate DirectorPresident Jul 20, 2021 33.3%
Steve Filton Individual Corporate OfficerVice President Aug 1, 2011 100%
Corporate DirectorVice President Aug 1, 2011 33.3%
Operational/Managerial ControlVice President Aug 1, 2011 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Aug 1, 2011 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2011
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Aug 1, 2011 50%
Tafton T Weight Individual Contracted Managing EmployeeCfo Apr 20, 2026
Corporate OfficerCfo Apr 20, 2026
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office Operational/Managerial Control Jun 2, 2000
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman Mar 18, 2024 87.4%

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1598056053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E 750 NORTH",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84097",
            "telephone_number": "215-487-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E 750 NORTH",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84097",
            "telephone_number": "215-487-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF PROVO CANYON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "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": "SRVP CFO",
        "authorized_official_telephone_number": "610-768-3330"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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

Verify at the official NPI Registry.