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Extended Family, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility in Spanish Fork, UT · enumerated 2007 · authorized official Paul Wiederhold, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215068267

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Registry record

Entity type Organization (Type 2)
Legal business name Extended Family, Inc.
Practice address 704 N State Road 51, Spanish Fork, UT, 84660
Phone (801) 794-0318
Fax (801) 794-9514
Enumeration date Mar 8, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

322D00000X Emotionally Disturbed Childrens' Residential Treatment Facility Residential Treatment Facilities · License 12040 (UT) Primary

Authorized official

Name Paul Wiederhold
Title Executive Director
Phone (801) 794-0318

Other identifiers

Identifier Type State Issuer
788007788033 Medicaid UT -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Extended Family, Inc.?
NPPES lists Paul Wiederhold (Executive Director) as the authorized official for this organization.
What is the NPI number for Extended Family, Inc.?
The NPI for Extended Family, Inc. is 1215068267, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.