MEDALLION MANOR INC.
NPI 1720098163
Intermediate Care Facility, Intellectual Disabilities in Provo, UT

Q: What is Medallion Manor Inc.'s NPI number?

The NPI number for Medallion Manor Inc. is 1720098163. It was assigned to this organization in the NPPES registry on August 8, 2006.

Q: What is Medallion Manor Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since August 08, 2006

1701 W 600 S, PROVO, UT 84601(801) 375-2710 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Medallion Manor Inc. NPPES

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

MEDALLION MANOR INC. (NPI 1720098163) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Provo, Utah and active in the NPI registry since August 2006. The organization lists Merlin C Moyes, Administrator, as its authorized official.

NPPES Registry Identity

NPI1720098163

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameMEDALLION MANOR INC.

Location Address1701 W 600 SProvo, UT 84601-3832

Mailing AddressPo Box 51377Provo, UT 84605-1377 · (801) 375-2710

Phone(801) 375-2710

Organization SubpartNo

Authorized OfficialMerlin C MoyesAdministrator · (801) 375-2710

Enumeration DateAugust 8, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1720098163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in UT · 2006-NCF-69

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

1701 W 600 S, Provo, UT 84601

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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 Medallion Manor Inc.'s NPI number?

The NPI number for Medallion Manor Inc. is 1720098163. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Medallion Manor Inc. located?

Medallion Manor Inc. is located at 1701 W 600 S, Provo, UT 84601. The listed phone number is (801) 375-2710.

What is Medallion Manor Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Medallion Manor Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.