Provider Demographics
NPI:1396831160
Name:UTAH SCHOOLS FOR THE DEAF AND THE BLIND
Entity Type:Organization
Organization Name:UTAH SCHOOLS FOR THE DEAF AND THE BLIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-629-4723
Mailing Address - Street 1:742 HARRISON BLVD
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84404-5231
Mailing Address - Country:US
Mailing Address - Phone:801-629-4700
Mailing Address - Fax:
Practice Address - Street 1:742 HARRISON BLVD
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84404-5231
Practice Address - Country:US
Practice Address - Phone:801-629-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT876000546190Medicaid