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BLUE MOUNTAIN HOSPITAL NPI 1558513812


NPI Information

NPI: 1558513812
Provider Name: BLUE MOUNTAIN HOSPITAL
Classification: Clinic/Center - 261QC0050X
Entity Type: Organization

Specialization: Critical Access Hospital

Address:
802 S 200 WEST
SUITE A
BLANDING, UT
ZIP 84511
Phone: (435) 678-3993
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BLUE MOUNTAIN HOSPITAL is a critical access hospital clinic center in Blanding, UT. The provider is an outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. BLUE MOUNTAIN HOSPITAL NPI is 1558513812. The provider is registered as an organization entity type.

The provider's business location address is:

802 S 200 WEST
SUITE A
BLANDING, UT
ZIP 84511
Phone: (435) 678-3993
Fax: (435) 678-3992

The provider's authorized official is Jeremy Lyman .
The authorized official title is Ceo and has the following contact phone number (435) 678-3993.

The enumeration date for this NPI number is 10/17/2008 and was last updated on 1/20/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1275N00000XMedicare Defined Swing Bed UnitUTAHNo
2261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment2010-ESRD-90350UTAHNo
3261QC0050XClinic/CenterCritical Access Hospital2011-HOSP-96389UTAHYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1461310MEDICARE OSCAR/CERTIFICATIONUTAH
246Z310MEDICARE OSCAR/CERTIFICATIONUTAH
346-Z310MEDICARE UPINUTAH
41558513812MEDICAIDUTAH
5462319MEDICARE OSCAR/CERTIFICATIONUTAH
6452579MEDICAIDARIZONA
746-1310MEDICARE UPINUTAH
8000065473MEDICARE UPINUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.