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

Active since July 05, 2007CLIA 46D2071010 · Waiver
115 W 1470 S, ST GEORGE, UT 84770(435) 652-8488(435) 652-9959 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eagle Ranch Academy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE RANCH ACADEMY (NPI 1003014648) is a healthcare organization registered as a substance abuse treatment, children in St George, Utah and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through December 30, 2027 and lists Paul Arslanian, Director, as its authorized official.

NPPES Registry Identity

NPI1003014648
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameEAGLE RANCH ACADEMY
Location Address115 W 1470 SSt George, UT 84770-6763
Mailing Address115 W 1470 SSt George, UT 84770-6763 · (435) 652-8488 · Fax (435) 652-9959
Phone(435) 652-8488
Fax(435) 652-9959
Organization SubpartNo
Authorized OfficialPaul ArslanianDirector · (435) 652-8488
Enumeration DateJuly 5, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003014648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
License✔ Licensed in UT · 12753
Definition
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.
115 W 1470 S, St George, UT 84770
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2071010

Eagle Ranch Academy · St George, UT
Active · expires Dec 30, 2027
CLIA Number46D2071010
Laboratory TypeResidential Treatment Cen
Certificate Effective DateDecember 31, 2025
Certificate Expiration DateDecember 30, 2027
Laboratory DirectorJoy A. Weippert
Laboratory Phone(435) 652-8488
Laboratory LocationEagle Ranch Academy115 West 1470 S, St George, UT 84770
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DARRELL BENSON LCSW
Social Worker (Clinical)
115 W 1470 S
ST GEORGE, UT 84770
Washington County (435) 652-8488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Ranch Academy's NPI number?

The NPI number for Eagle Ranch Academy is 1003014648. It was assigned to this organization in the NPPES registry on July 5, 2007.

Where is Eagle Ranch Academy located?

Eagle Ranch Academy is located at 115 W 1470 S, St George, UT 84770. The listed phone number is (435) 652-8488.

What is Eagle Ranch Academy's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Does Eagle Ranch Academy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2071010) is associated with this NPI, valid through December 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eagle Ranch Academy was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.