Medallion Manor Inc.
Medallion Manor Inc. is a healthcare organization registered as Intellectual Disabilities Intermediate Care Facility in Provo, UT, holding Type 2 (organization) NPI 1720098163 since 2006. The authorized official on file is Merlin Moyes, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720098163 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Medallion Manor Inc. |
| Practice address | 1701 W 600 S, Provo, UT, 84601 |
| Phone | 8013752710 |
| Enumeration date | 2006-08-08 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Merlin Moyes |
|---|---|
| Title | Administrator |
| Phone | 8013752710 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | Primary | 2006-NCF-69 | UT |
Copy-ready billing details
Provider: Medallion Manor Inc. NPI: 1720098163 Taxonomy: 315P00000X (Intellectual Disabilities Intermediate Care Facility) Address: 1701 W 600 S, Provo, UT, 84601
Verify this record
Cross-check NPI 1720098163 against the authoritative CMS record: view Medallion Manor Inc. on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Medallion Manor Inc.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.