OrganizationActive
Summit Lodge Recovery Center
NPI 1831374768 · Substance Abuse Rehabilitation Facility · Fairview, UT
Provider details
- NPI number
- 1831374768
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Joel Hanson, Administrator(435) 427-8808
- License
- 13564 (UT)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
Rr 1 Box 73b
Fairview, UT 84629-9505
Phone: (435) 427-8808
Approximate (ZIP-level) locationGet directions
Mailing address
Rr 1 Box 73b
Fairview, UT 84629-9505
Registry dates
- Enumerated
- 2008-01-09
- Last updated
- 2008-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.