EAGLE RANCH ACADEMY
NPI 1003014648
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in St George, UT

NPI Status: Active since July 05, 2007

Contact Information

115 W 1470 S
ST GEORGE, UT
ZIP 84770
Phone: (435) 652-8488
Fax: (435) 652-9959

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Substance Abuse Treatment, Children
  • CLIA Number: 46D2071010
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 12-30-2025

About EAGLE RANCH ACADEMY

Eagle Ranch Academy is a provider established in St George, Utah operating as a Substance Abuse Rehabilitation Facility with a focus in substance abuse treatment, children . The healthcare provider is registered in the NPI registry with number 1003014648 assigned on July 2007. The practitioner's primary taxonomy code is 3245S0500X with license number 12753 (UT). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Paul Arslanian (Director)

NPI
1003014648
Provider Name
EAGLE RANCH ACADEMY
Entity Type
Organization
Location Address
115 W 1470 S ST GEORGE, UT 84770
Location Phone
(435) 652-8488
Location Fax
(435) 652-9959
Mailing Address
115 W 1470 S ST GEORGE, UT 84770
Mailing Phone
(435) 652-8488
Mailing Fax
(435) 652-9959
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
07-05-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children

Taxonomy Code
3245S0500X
Type
Residential Treatment Facilities
License No.
12753
License State
UT
Taxonomy Description
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PAUL ARSLANIAN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(435) 652-8488

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2071010
Facility Type
Other - RESIDENTIAL TREATMENT CEN
Certificate Effective Date
December 31, 2023
Certificate Expiration Date
December 30, 2025
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eagle Ranch Academy to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EAGLE RANCH ACADEMY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003014648
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301868
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 8 + 6 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1003014648 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902398225MR. DARRELL BENSON LCSW
Individual
Social Worker (Clinical)115 W 1470 S
ST GEORGE, UT 84770
(435) 652-8488
1447680186MRS. SHANNON MARIE WOOLF
Individual
Counselor (Mental Health)115 W 1470 S
ST GEORGE, UT 84770
(435) 652-8488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003014648, enumerated in the NPI registry as an "organization" on July 05, 2007

The provider is located at 115 W 1470 S St George, Ut 84770 and the phone number is (435) 652-8488

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X with a focus in Substance Abuse Treatment, Children

The provider's CLIA number is 46D2071010 for a "other - residential treatment cen" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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