Cirque Lodge Inc.

Cirque Lodge Inc. is a healthcare organization registered as Substance Abuse Rehabilitation Facility in Orem, UT, holding Type 2 (organization) NPI 1912108242 since 2007. The authorized official on file is Gary Fisher, Director of Operations.

✓ Active NPI ✓ Valid NPI checksum

NPI	1912108242
Entity type	Organization (Type 2)
Legal business name	Cirque Lodge Inc.
Practice address	777 N PALISADES DR, Orem, UT, 84097
Phone	8012229200
Fax	8012220112
Enumeration date	2007-05-31
Last updated in NPPES	2016-11-26

Authorized official

Name	Gary Fisher
Title	Director of Operations
Phone	8012229200

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
324500000X	Substance Abuse Rehabilitation Facility	Primary	12370	UT

Copy-ready billing details

Provider: Cirque Lodge Inc.
NPI: 1912108242
Taxonomy: 324500000X (Substance Abuse Rehabilitation Facility)
Address: 777 N PALISADES DR, Orem, UT, 84097

Verify this record

Cross-check NPI 1912108242 against the authoritative CMS record: view Cirque Lodge 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

Where is Cirque Lodge Inc. located?

The practice location on file with NPPES is in Orem, UT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-11-26. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2016-11-26.