KOLOB CANYON
NPI 1366574568
Psychiatric Residential Treatment Facility in New Harmony, UT

NPI Status: Active since March 12, 2007

Contact Information

1338 EAST 600 SOUTH
NEW HARMONY, UT
ZIP 84757
Phone: (435) 865-1437

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • CLIA Number: 46D2190646
  • CLIA Cert. Type: Other - RESIDENTIAL TREATMENT CEN
  • CLIA Exp. Date: 08-17-2026

About KOLOB CANYON

This page provides the complete NPI Profile along with additional information for Kolob Canyon, a provider established in New Harmony, Utah operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1366574568 assigned on March 2007. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Trudy Widup (Business Office Manager)

NPI
1366574568
Provider Name
KOLOB CANYON
Entity Type
Organization
Location Address
1338 EAST 600 SOUTH NEW HARMONY, UT 84757
Location Phone
(435) 865-1437
Mailing Address
1338 EAST 600 SOUTH NEW HARMONY, UT 84757
Mailing Phone
(435) 865-1437
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRUDY WIDUP

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(435) 865-1437

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 this NPI number is:

CLIA Number
46D2190646
Facility Type
Other - RESIDENTIAL TREATMENT CEN
Certificate Effective Date
August 18, 2024
Certificate Expiration Date
August 17, 2026
Laboratory Director
CRAIG R. RODABOUGH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kolob Canyon 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366574568, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 0 + 7 + 8 + 5 + 1 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1366574568.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Residential Treatment Facility, Emotionally Disturbed Children
1338 EAST 600 SOUTH
NEW HARMONY, UT 84757

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366574568, enumerated as an "organization" on March 12, 2007.

The provider is located at 1338 EAST 600 SOUTH NEW HARMONY, UT 84757 and the phone number is (435) 865-1437.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.