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

Active since March 12, 2007CLIA 46D2190646 · Waiver
1338 EAST 600 SOUTH, NEW HARMONY, UT 84757(435) 865-1437 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kolob Canyon NPPES

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

KOLOB CANYON (NPI 1366574568) is a healthcare organization registered as a psychiatric residential treatment facility in New Harmony, Utah and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 17, 2026 and lists Trudy Widup, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366574568
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameKOLOB CANYON
Location Address1338 EAST 600 SOUTHNew Harmony, UT 84757
Mailing Address1338 East 600 SouthNew Harmony, UT 84757 · (435) 865-1437
Organization SubpartNo
Authorized OfficialTrudy WidupBusiness Office Manager · (435) 865-1437
Enumeration DateMarch 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1366574568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition

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

1338 EAST 600 SOUTH, New Harmony, UT 84757

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 46D2190646

Kolob Canyon Rtc · New Harmony, UT
Active · expires Aug 17, 2026
CLIA Number46D2190646
Laboratory TypeResidential Treatment Cen
Certificate Effective DateAugust 18, 2024
Certificate Expiration DateAugust 17, 2026
Laboratory DirectorCraig R. Rodabough
Laboratory Phone(435) 590-6881
Laboratory LocationKolob Canyon Rtc1338 E 600 S, New Harmony, UT 84757
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

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

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

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 Kolob Canyon's NPI number?

The NPI number for Kolob Canyon is 1366574568. It was assigned to this organization in the NPPES registry on March 12, 2007.

Where is Kolob Canyon located?

Kolob Canyon is located at 1338 East 600 South, New Harmony, UT 84757. The listed phone number is (435) 865-1437.

What is Kolob Canyon's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Kolob Canyon hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2190646) is associated with this NPI, valid through August 17, 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 Kolob Canyon was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.