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PROVO CITY SCHOOL DISTRICT
NPI 1164455283
Local Education Agency (LEA) in Provo, UT

Active since July 09, 2006CLIA 46D2202461 · Waiver
280 W 940 N, PROVO, UT 84604(801) 374-4851(801) 374-4808 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Provo City School District NPPES

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

PROVO CITY SCHOOL DISTRICT (NPI 1164455283) is a healthcare organization registered as a local education agency (lea) in Provo, Utah and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 26, 2026 and lists Ted H Kelly, Director, as its authorized official.

NPPES Registry Identity

NPI1164455283
Entity TypeOrganization
Primary Taxonomy251300000X
Legal Business NamePROVO CITY BOARD OF EDUCATION
Location Address280 W 940 NProvo, UT 84604-3326
Mailing Address280 W 940 NProvo, UT 84604-3326 · (801) 374-4851 · Fax (801) 374-4808
Phone(801) 374-4851
Fax(801) 374-4808
Organization SubpartNo
Authorized OfficialTed H KellyDirector · (801) 374-4934
Enumeration DateJuly 9, 2006
Last NPPES UpdateJune 24, 2008
✔ NPI 1164455283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies
Taxonomy Code251300000X
Definition
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
280 W 940 N, Provo, UT 84604
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Other Names 1

Doing Business AsProvo City School District

Other Identifiers 1

Medicaid=========021UT

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 46D2202461

Provo City School District · Provo, UT
Active · expires Nov 26, 2026
CLIA Number46D2202461
Laboratory TypeSchool/Student Health Service
Certificate Effective DateNovember 27, 2024
Certificate Expiration DateNovember 26, 2026
Laboratory DirectorDouglas P. Finch
Laboratory Phone(801) 374-4800
Laboratory LocationProvo City School District280 West 940 North, Provo, UT 84604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

BROOKE GENNILLE HAMMOND
Physical Therapy Assistant
280 W 940 N
PROVO, UT 84604
Utah County (801) 374-4800
BRYAN KENT YOUNG
Psychologist (School)
280 W 940 N
PROVO, UT 84604
Utah County (801) 494-4387
ANN M TRUJILLO OTA
Occupational Therapist
280 W 940 N
PROVO, UT 84604
Utah County (801) 374-4800
JERRY L ZIMMERMAN
Psychologist (School)
280 W 940 N
PROVO, UT 84604
Utah County (801) 374-4883
ROBERT GOMM EDS
Psychologist (School)
280 W 940 N
PROVO, UT 84604
Utah County (801) 374-4800
BENJAMIN OOI
Psychologist (School)
280 W 940 N
PROVO, UT 84604
Utah County (801) 374-4800
ALEX WHEATLEY
Psychologist (School)
280 W 940 N
PROVO, UT 84604
Utah County (801) 374-4800
EMILY RUTH EGGLI COTA/L
Occupational Therapy Assistant
280 W 940 N
PROVO, UT 84604
Utah County (801) 374-4800

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 Provo City Board Of Education's NPI number?

The NPI number for Provo City Board Of Education is 1164455283. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Provo City School District.

Where is Provo City Board Of Education located?

Provo City Board Of Education is located at 280 W 940 N, Provo, UT 84604. The listed phone number is (801) 374-4851.

What is Provo City Board Of Education's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Does Provo City Board Of Education hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2202461) is associated with this NPI, valid through November 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Provo City Board Of Education was last updated on June 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.