NPIMap

Organization Active NPI

Triumph Youth Ranch

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • New Harmony, UT
National Provider Identifier
1609015155
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
14109 Issued in UT
Legal business name
TRIUMPH YOUTH RANCH
Practice address
1338 East 600 South
New Harmony, UT 84757-0531
Phone
(435) 865-1437
Fax
(435) 865-1439
NPI assigned
Feb 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Tawny Davis, LMSW
Title
Clinical Director
Phone
(435) 890-9180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 14109 UT Primary

Addresses

Primary practice location

1338 East 600 South
New Harmony, UT 84757-0531

Mailing address

PO Box 531
1338 East 600 South
New Harmony, UT 84757-0531
Phone (435) 865-1437

Other names 1

  • Kolob Canyon RTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kolob Canyon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1609015155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531",
            "address_2": "1338 EAST 600 SOUTH",
            "city": "NEW HARMONY",
            "state": "UT",
            "postal_code": "847570531",
            "telephone_number": "435-865-1437",
            "fax_number": "435-865-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 EAST 600 SOUTH",
            "city": "NEW HARMONY",
            "state": "UT",
            "postal_code": "847570531",
            "telephone_number": "435-865-1437",
            "fax_number": "435-865-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPH YOUTH RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TAWNY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "435-890-9180",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "UT",
            "license": "14109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kolob Canyon RTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Harmony, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.