Canyon River Ranch

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

30655 Issued in UT

Legal business name

CANYON RIVER RANCH

Practice address

244 Ogden Cyn
Ogden, UT 84401-0958

Phone

(801) 695-1016

NPI assigned

Jan 25, 2017

Last updated

Jan 25, 2017By 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

Mr. Allan David Falls

Title

Program Director

Phone

(801) 695-1016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1932646148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 OGDEN CYN",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844010958",
            "telephone_number": "801-695-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 OGDEN CYN",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844010958",
            "telephone_number": "801-695-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON RIVER RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "FALLS",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "801-695-1016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "UT",
            "license": "30655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Canfield, NP
• Allie Marie Cannon, PA-C
• Stefan Cantwell, DPT
• Canyon Dental Group LLC
• Canyon Medical Home
• Robert Jerry Capener, D.M.D.
• Steven J Carabine, M.D.
• Caralee Child, LCSW, PLLC
• Carcelli & Carcelli PC
• Lawrence Anthony Carcelli, PH.D.

• Mental Illness Community Based Residential Treatment Facility in Ogden, UT
• Providers in Ogden, UT by specialty
• Mental Illness Community Based Residential Treatment Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.