Blue Mountain Hospital, NPI 1558513812
Critical Access Hospital Clinic/Center in Blanding, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1558513812
NPI Entity Type Organization
Provider Name Blue Mountain Hospital
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 802 S 200 West, Suite A, Blanding, UT, US
Provider Mailing Address 802 S 200 West, Suite A, Blanding, UT, US, 84511
Is Sole Proprietor? No
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Organization Official

Official Name MR. MBA Jeremy Lyman
Official Position CEO
Phone 435-678-3993

Primary Taxonomy

Taxonomy Code

261QC0050X

Taxonomy Name Critical Access Hospital Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. 2011-HOSP-96389
License State UT
Description 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.

Business Address

Blue Mountain Hospital
802 S 200 West
Suite A

Blanding, UT, US

Phone: 435-678-3993
Fax: 435-678-3992

Mailing Address

Blue Mountain Hospital
802 S 200 West
Suite A
Blanding, UT, US
ZIP 84511
Phone: 435-678-3993
Fax: 435-678-3992

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261QE0700X

Ambulatory Health Care Facilities

Clinic/Center

2010-ESRD-90350 UT No

275N00000X

Hospital Units

Medicare Defined Swing Bed Unit

UT No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
452579 AZ MEDICAID 05
1558513812 UT MEDICAID 05

Other Providers in UT, US

NPI Name Taxonomy Address

1902227101

PA-S James Ritch Benson

Individual

Student in an Organized Health Care Education/Training Program

1116 S River View Dr

Spanish Fork, UT

1821593013

MD Cara Chaudhary

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1639894009

Zussette Sanchez

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Jared Rust

Individual

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Brinleigh Bishop

Individual

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1346525474

FNP-C Robert Wilson Ralston

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Utah Wound Care And Hyperbaric Center Llc

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1720703184

Anna White

Individual

Behavior Technician

1970 W 7800 S

West Jordan, UT

1003531468

Gracie Gillman

Individual

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1970 W 7800 S

West Jordan, UT

1407571854

Auriane Davis

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Student in an Organized Health Care Education/Training Program

130 S Main St # 119a

Logan, UT

1467831263

Candice Yeaman

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Mental Health Counselor

11075 S State St Ste 4

Sandy, UT

1073811071

Stephen Gordon Anderson

Individual

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525 N 1080 E

Orem, UT

1023662400

PA Adam Christopher Garrett

Individual

Physician Assistant

1184 E 80 N

American Fork, UT

1396460721

Cole Mayoros

Individual

Community Health Worker

249 E Tabernacle St Ste 100

St George, UT

1497470827

Alayna Hill

Individual

Behavior Technician

1067 E Tabernacle St

St George, UT

1023733441

APRN Trisha Sears

Individual

Family Nurse Practitioner

4563 W Frary Rd

Syracuse, UT

1184349631

Empower You Therapy

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

12485 S 900 E

Draper, UT

1588389902

Damaris Villalobos

Individual

Community Health Worker

249 E Tabernacle St Ste 100

St George, UT

1760107189

Dylan Smart

Individual

Behavioral Analyst

8031 S 700 E

Sandy, UT

1609591007

Alexis Suzanne Goodwin

Individual

Behavior Technician

2025 S 50 W

Bountiful, UT

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