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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CIRQUE LODGE INC

Active Organization

CIRQUE LODGE INC is a Substance Abuse Rehabilitation Facility organization located in SUNDANCE, Utah. NPI 1437692241 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · SUNDANCE, UT

Registration Details

NPI Number
1437692241
Provider Type
Organization
NPI Issued
Nov 28, 2016 (9.7502196474176 yrs)
Last Updated
Nov 28, 2016
License
28275 (UT)

Practice Information

Address
3114 E IDA'S ROAD
SUNDANCE, UT, 84604
Browse UT providers · Browse ZIP 84604
Phone
8012229200
Fax
8012220112
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.