BRISTOL HOSPICE - UTAH L.L.C. NPI 1164527792

NPI Information

BRISTOL HOSPICE - UTAH, L.L.C. is a hospice care community based in Ogden, UT. BRISTOL HOSPICE - UTAH, L.L.C. NPI is 1164527792. The provider is registered as an organization entity type.

The provider's business location address is:

1638 N WASHINGTON BLVD
OGDEN, UT
ZIP 84404-763
Phone: (801) 924-0867
Fax: (801) 747-3864

The provider's authorized official is Hyrum Kirton .
The authorized official title is President/ceo and has the following contact phone number (801) 325-0175.

The CLIA number assigned to this NPI record is 46D1065411 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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