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 NameEAGLE RANCH ACADEMY
Location Address115 W 1470 S ST GEORGE, UT 84770
Location Phone(435) 652-8488
Mailing Address115 W 1470 S ST GEORGE, UT 84770
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-05-2007
Last Update Date08-22-2020



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 Code3245S0500X
ClassificationSubstance Abuse Rehabilitation Facility
TypeResidential Treatment Facilities
SpecializationSubstance Abuse Treatment, Children
License No.12753
License StateUT
Taxonomy DescriptionA 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

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Mailing Address

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


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameMR. PAUL ARSLANIAN
Authorized Official TitleDIRECTOR
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 the NPI number 1003014648 is:

CLIA Number46D2071010
Facility TypeOTHER
Certificate TypeCertificate 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.
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 provider is 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

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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