UTAH STATE DEVELOPMENTAL CENTER
NPI 1689674301
Intermediate Care Facility, Mental Illness in American Fork, UT
NPI Status: Active since July 22, 2005
Contact Information
895 N. 900 E.
AMERICAN FORK, UT
ZIP 84003
Phone: (801) 763-4000
Fax: (801) 763-4073
- Organization
- Intermediate Care Facility, Mental Illne...
- CLIA Number: 46D0683172
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 09-03-2027
About UTAH STATE DEVELOPMENTAL CENTER
This page provides the complete NPI Profile along with additional information for Utah State Developmental Center, a provider established in American Fork, Utah operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1689674301 assigned on July 2005. The practitioner's primary taxonomy code is 310500000X with license number 2004-NCF-95 (UT). 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 Karen Clarke (Superintendent)
- NPI
- 1689674301
- Provider Name
- UTAH STATE DEVELOPMENTAL CENTER
- Entity Type
- Organization
- Location Address
- 895 N. 900 E. AMERICAN FORK, UT 84003
- Location Phone
- (801) 763-4000
- Location Fax
- (801) 763-4073
- Mailing Address
- 895 N. 900 E. AMERICAN FORK, UT 84003
- Mailing Phone
- (801) 763-4000
- Mailing Fax
- (801) 763-4073
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2005
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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
Intermediate Care Facility, Mental Illness
- Taxonomy Code
- 310500000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 2004-NCF-95
- License State
- UT
- Taxonomy Description
- A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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
- 46D0683172
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- September 04, 2025
- Certificate Expiration Date
- September 03, 2027
- Laboratory Director
- STEVEN D. MONSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Utah State Developmental Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1689674301, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689674301, enumerated as an "organization" on July 22, 2005.
The provider is located at 895 N. 900 E. AMERICAN FORK, UT 84003 and the phone number is (801) 763-4000.
Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.
