OrganizationActive
State of Utah
NPI 1811978620 · Psychiatric Hospital · Provo, UT
Provider details
- NPI number
- 1811978620
- Entity type
- Organization
- Primary specialty
- Psychiatric HospitalHospitals
- Authorized official
- Dallas Earnshaw, Superintendent
Practice location
1300 E Center St
Provo, UT 84606-3554
Phone: (801) 344-4400
Fax: (801) 344-4225
Mailing address
Po Box 270
Provo, UT 84603-0270
Registry dates
- Enumerated
- 2005-11-09
- Last updated
- 2024-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.