Red Rock Canyon School Non Profit Organization

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

License

3648 Issued in UT

Legal business name

RED ROCK CANYON SCHOOL NON PROFIT ORGANIZATION

Doing business as

Red Rock Canyon School

Practice address

747 E Saint George Blvd
St George, UT 84770-3035

Phone

(435) 673-6111

Fax

(435) 673-0994

NPI assigned

Feb 4, 2008

Last updated

Jun 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Pace, MA ED, MC

Title

Executive Director

Phone

(435) 673-6111

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Red Rock Canyon School Doing business as

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1720266570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 E SAINT GEORGE BLVD",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703035",
            "telephone_number": "435-673-6111",
            "fax_number": "435-673-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 E SAINT GEORGE BLVD",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703035",
            "telephone_number": "435-673-6111",
            "fax_number": "435-673-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK CANYON SCHOOL NON PROFIT ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-673-6111",
        "authorized_official_credential": "MA ED, MC"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "UT",
            "license": "3648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100521047",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54988322",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Rock Canyon School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Red Mountain Counseling and Education
• Red Peak Physical Therapy
• Red Rock Canyon School LLC
• Red Rock Center for Independence
• Red Rock Coaching & Counseling, LLC
• Red Rock Healthcare, Inc. (Zion's Way Rehabilitation)
• Red Rock Healthcare, Inc. (Zion's Way Home Health)
• Red Rock Healthcare, Inc. (Zion's Way Hospice)

• Psychiatric Residential Treatment Facility in St George, UT
• Providers in St George, 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 Jun 25, 2015; 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.