Provider Demographics
NPI:1689746794
Name:UHS OF KOOTENAU RIVER INC
Entity Type:Organization
Organization Name:UHS OF KOOTENAU RIVER INC
Other - Org Name:ASCENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO SR VP
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:1350 E 750 N
Mailing Address - Street 2:CENTRAL BUSINESS OFFICE
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-4345
Mailing Address - Country:US
Mailing Address - Phone:801-227-2000
Mailing Address - Fax:801-229-1043
Practice Address - Street 1:COUNTY ROAD 12
Practice Address - Street 2:RUBY CREEK ROAD
Practice Address - City:NAPLES
Practice Address - State:ID
Practice Address - Zip Code:83847-0230
Practice Address - Country:US
Practice Address - Phone:801-227-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2007-08-14
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-08-14
Provider Licenses
StateLicense IDTaxonomies
ID18251323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility