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BRISTOL HOSPICE - UTAH II L.L.C. NPI 1619253606


NPI Information

NPI: 1619253606
Provider Name: BRISTOL HOSPICE - UTAH II, L.L.C.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 46D2172316

Address:
1106 E 6600 S STE 100
MURRAY, UT
ZIP 84121
Phone: (801) 930-5266
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BRISTOL HOSPICE - UTAH II, L.L.C. is a hospice care community based in Murray, UT. BRISTOL HOSPICE - UTAH II, L.L.C. NPI is 1619253606. The provider is registered as an organization entity type.

The provider's business location address is:

1106 E 6600 S STE 100
MURRAY, UT
ZIP 84121-446
Phone: (801) 930-5266
Fax: (801) 930-5272

The provider's authorized official is Gerry Norman Christensen .
The authorized official title is Exec Vp/cfo and has the following contact phone number (801) 433-0932.

The CLIA number assigned to this NPI record is 46D2172316 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2011 and was last updated on 6/26/2020.


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
1251G00000XHospice Care, Community BasedYes

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
11619253606MEDICAIDUTAH

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: 4/28/2024

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.