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RENAISSANCE RANCH HEYBURN
NPI 1114692373
Substance Abuse Rehabilitation Facility in Heyburn, ID

Active since August 10, 2021
312 S 950 W, HEYBURN, ID 83336(855) 736-7262 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renaissance Ranch Heyburn NPPES

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

RENAISSANCE RANCH HEYBURN (NPI 1114692373) is a healthcare organization registered as a substance abuse rehabilitation facility in Heyburn, Idaho and active in the NPI registry since August 2021. The organization lists Tyson Blaine Dixon, Owner, as its authorized official.

NPPES Registry Identity

NPI1114692373
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRENAISSANCE RANCH HEYBURN
Location Address312 S 950 WHeyburn, ID 83336-9765
Mailing Address312 S 950 WHeyburn, ID 83336-9765
Phone(855) 736-7262
Organization SubpartNo
Authorized OfficialTyson Blaine DixonOwner · (801) 860-0118
Enumeration DateAugust 10, 2021
NPPES CertifiedAugust 10, 2021
✔ NPI 1114692373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
312 S 950 W, Heyburn, ID 83336
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Other Providers at the Same Location NPPES

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

CASEY JOE SMITH FNPC
Nurse Practitioner (Family)
312 S 950 W
HEYBURN, ID 83336
Minidoka County (801) 484-4479

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 Renaissance Ranch Heyburn's NPI number?

The NPI number for Renaissance Ranch Heyburn is 1114692373. It was assigned to this organization in the NPPES registry on August 10, 2021.

Where is Renaissance Ranch Heyburn located?

Renaissance Ranch Heyburn is located at 312 S 950 W, Heyburn, ID 83336. The listed phone number is (855) 736-7262.

What is Renaissance Ranch Heyburn's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Renaissance Ranch Heyburn was last updated on August 10, 2021. 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.