EAGLE RANCH ACADEMY NPI 1003014648
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in St George, UT
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 NPI number of this provider is 1003014648 and was 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 3 years ago. The authorized official of this NPI record is Mr. Paul Arslanian (Director)
| NPI | 1003014648 |
| Provider Name | EAGLE RANCH ACADEMY |
| Location Address | 115 W 1470 S ST GEORGE, UT 84770 |
| Location Phone | (435) 652-8488 |
| Mailing Address | 115 W 1470 S ST GEORGE, UT 84770 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 07-05-2007 |
| Last Update Date | 08-22-2020 |
The CLIA number of Eagle Ranch Academy is 46D2071010 registered as a "other" facility with a CLIA Certificate of Waiver. 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.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 3245S0500X |
| Classification | Substance Abuse Rehabilitation Facility |
| Type | Residential Treatment Facilities |
| Specialization | Substance Abuse Treatment, Children |
| License No. | 12753 |
| License State | UT |
| Taxonomy Description | A facility or distinct part of a facility 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. |
Business Address
115 W 1470 S
ST GEORGE, UT
ZIP 84770
Phone: (435) 652-8488
Fax: (435) 652-9959
Mailing Address
115 W 1470 S
ST GEORGE, UT
ZIP 84770
Phone: (435) 652-8488
Fax: (435) 652-9959
Location Map
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 the NPI number 1003014648 is:
| CLIA Number | 46D2071010 |
| Facility Type | OTHER |
| Certificate Type | Certificate of Waiver |
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 4 | 6 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 8 | 6 | 8 | |
| 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 = 8 | 8 | ||||||||
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 provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902398225 | MR. DARRELL BENSON LCSW Individual | Social Worker (Clinical) | 115 W 1470 S ST GEORGE, UT 84770 (435) 652-8488 |
Frequently Asked Questions
What is EAGLE RANCH ACADEMY NPI number?
The NPI number assigned to this healthcare provider is 1003014648, registered as an "organization" on July 05, 2007
Where is EAGLE RANCH ACADEMY located?
The provider is located at 115 W 1470 S St George, Ut 84770 and the phone number is (435) 652-8488
What kind of medical provider is EAGLE RANCH ACADEMY?
This medical organization specializes in Substance Abuse Rehabilitation Facility with a focus in Substance Abuse Treatment, Children
What is EAGLE RANCH ACADEMY CLIA number?
The provider's CLIA number is 46D2071010 for a "other" 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..
How do I update my NPI information?
The NPI record of EAGLE RANCH ACADEMY 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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