Blue Mountain Hospital
LBN: Blue Mountain Hospital
Blue Mountain Hospital is an health care organization with primary practice located at 802 S 200 West Suite A, Blanding UT 84511. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Critical Access Hospital, Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, Hospital Units / Medicare Defined Swing Bed Unit. Ambulatory Health Care Facilities / Critical Access Hospital is the primary health care specialty.
Blue Mountain Hospital can be contacted via phone (435) 678-3993, or through Lyman, Jeremy via phone (435) 678-3993.
Contact Information
Primary practice address
802 S 200 West Suite A
Blanding UT 84511
Phone: (435) 678-3993
Fax: (435) 678-3992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Critical Access Hospital | 261QC0050X | 2011-HOSP-96389 | Utah |
| Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment | 261QE0700X | 2010-ESRD-90350 | Utah |
| Hospital Units / Medicare Defined Swing Bed Unit | 275N00000X | Utah |
Profile Details
| NPI number | 1558513812 |
|---|---|
| LBN Legal business name | Blue Mountain Hospital |
| DBA Doing business as | |
| Authorized official | Lyman, Jeremy MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 17th, 2008 |
| Last updated | Sep 19th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558513812 | NPPES |
| Arizona | MEDICAID | 452579 | |
| Arizona | MEDICAID | 1558513812 |
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