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UTAH STATE HOSPITAL
NPI 1811978620
Psychiatric Hospital in Provo, UT

Active since November 09, 2005
1300 E CENTER ST, PROVO, UT 84606(801) 344-4400(801) 344-4225 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 9, 2024, Sep 19, 2024, Jun 11, 2020 and 2 more (5 updates tracked since 2019).

About Utah State Hospital NPPES

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

UTAH STATE HOSPITAL (NPI 1811978620) is a healthcare organization registered as a psychiatric hospital in Provo, Utah and active in the NPI registry since November 2005. The organization lists Dallas Earnshaw, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1811978620
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSTATE OF UTAH
Location Address1300 E CENTER STProvo, UT 84606-3554
Mailing AddressPo Box 270Provo, UT 84603-0270 · (801) 344-4400 · Fax (801) 344-4225
Phone(801) 344-4400
Fax(801) 344-4225
Organization SubpartNo
Authorized OfficialDallas EarnshawSuperintendent · (801) 344-4200
Enumeration DateNovember 9, 2005
Last NPPES UpdateOctober 9, 20245 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1811978620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
1300 E CENTER ST, Provo, UT 84606
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Other Names 1

Doing Business AsUtah State Hospital

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 20

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

AARON EUGENE DEGRISELLES CTRS
Recreation Therapist
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4226
BRENNA GARRETT LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400
EDWARD LESLIE KELLY MD
Psychiatry & Neurology (Forensic Psychiatry)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400
WILLIAM KORY CAMP LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4215
UTAH STATE HOSPITAL
Psychiatric Hospital
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4331
KATIE DUVALL
Student in an Organized Health Care Education/Training Program
1300 E CENTER ST
PROVO, UT 84606
Utah County (013) 444-4400
KAZIA RYAN M.A.
Counselor
1300 E CENTER ST
PROVO, UT 84606
Utah County (385) 208-6904
THOMAS PAYNE LCSW
Social Worker (Clinical)
1300 E CENTER ST
PROVO, UT 84606
Utah County (801) 344-4400

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 State Of Utah's NPI number?

The NPI number for State Of Utah is 1811978620. It was assigned to this organization in the NPPES registry on November 9, 2005. The provider is doing business as Utah State Hospital.

Where is State Of Utah located?

State Of Utah is located at 1300 E Center St, Provo, UT 84606. The listed phone number is (801) 344-4400.

What is State Of Utah's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

What insurance does State Of Utah accept?

Health plans from Molina Healthcare list State Of Utah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for State Of Utah was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.