CIRQUE LODGE INC.
NPI 1912108242
Substance Abuse Rehabilitation Facility in Orem, UT

Q: What is Cirque Lodge Inc.'s NPI number?

The NPI number for Cirque Lodge Inc. is 1912108242. It was assigned to this organization in the NPPES registry on May 31, 2007.

Q: What is Cirque Lodge Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for Cirque Lodge Inc. was last updated on November 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 31, 2007

777 N PALISADES DR, OREM, UT 84097(801) 222-9200(801) 222-0112 Get Directions Write a Review

NPPES record last updated: November 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cirque Lodge Inc. NPPES

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

CIRQUE LODGE INC. (NPI 1912108242) is a healthcare organization registered as a substance abuse rehabilitation facility in Orem, Utah and active in the NPI registry since May 2007. The organization lists Gary Fisher, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1912108242

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameCIRQUE LODGE INC.

Location Address777 N PALISADES DROrem, UT 84097-4341

Mailing Address777 N Palisades DrOrem, UT 84097-4341 · (801) 222-9200 · Fax (801) 222-0112

Phone(801) 222-9200

Fax(801) 222-0112

Organization SubpartNo

Authorized OfficialGary FisherDirector Of Operations · (801) 222-9200

Enumeration DateMay 31, 2007

Last NPPES UpdateNovember 26, 2016

✔ NPI 1912108242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in UT · 12370

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

777 N PALISADES DR, Orem, UT 84097

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Other Providers at the Same Location NPPES 2

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

JOHN RYAN WATKINS M.D.

General Practice

777 N PALISADES DR
OREM, UT 84097

Utah County (801) 222-9200

DR. BETTY HOWELL MCELROY M.D.

Psychiatry & Neurology (Psychiatry)

777 N PALISADES DR
OREM, UT 84097

Utah County (801) 222-9200

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 Cirque Lodge Inc.'s NPI number?

The NPI number for Cirque Lodge Inc. is 1912108242. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Cirque Lodge Inc. located?

Cirque Lodge Inc. is located at 777 N Palisades Dr, Orem, UT 84097. The listed phone number is (801) 222-9200.

What is Cirque Lodge Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Cirque Lodge Inc. was last updated on November 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.