MEDALLION SUPPORTED LIVING-SPRINGVILLE
NPI 1851722904
Intermediate Care Facility, Intellectual Disabilities in Springville, UT
About Medallion Supported Living-springville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDALLION SUPPORTED LIVING-SPRINGVILLE (NPI 1851722904) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Springville, Utah and active in the NPI registry since November 2013. The organization lists Merlin Moyes, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGVILLE, UT 84663
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 Supported Living-Springville's NPI number?
The NPI number for Medallion Supported Living-Springville is 1851722904. It was assigned to this organization in the NPPES registry on November 27, 2013.
Where is Medallion Supported Living-Springville located?
Medallion Supported Living-Springville is located at 469 N Main St, Springville, UT 84663. The listed phone number is (801) 491-2208.
What is Medallion Supported Living-Springville'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 Supported Living-Springville was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Medallion Supported Living-Springville · NPI 1851722904
Intermediate Care Facility, Intellectual Disabilities organization in Springville, Utah. Organization record, active in the CMS NPPES registry since November 27, 2013.
## Identity
- **NPI:** 1851722904 (Entity type: Organization)
- **Enumerated:** November 27, 2013
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Organization subpart:** No
- **Authorized official:** Merlin Moyes, OWNER
## Practice location
- **Address:** 469 N MAIN ST, Springville, UT 84663-1036
- **Phone:** (801) 491-2208
## Record status
- **NPPES last updated:** November 27, 2013
- **Other identifiers:** Medicaid 2013-SHCF-UT000620 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1851722904) · Data from the CMS NPPES public registry.