Western Peaks Specialty Hospital

LBN: Providential Bba Operating Lp
Western Peaks Specialty Hospital is an health care organization with primary practice located at 485 E 500 S , Bountiful UT 84010-3801. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Chronic Disease Hospital, Hospitals / Long Term Care Hospital. Hospitals / Long Term Care Hospital is the primary health care specialty. Providential Bba Operating Lp can be contacted via phone (801) 295-2361, or through Bland, David A. via phone (801) 397-8101.

Contact Information

Primary practice address
485 E 500 S Bountiful UT 84010-3801
Phone: (801) 295-2361
Fax: (801) 295-1398
Website:
Map and Directions
Authorized official contact:
Name: Bland, David A.
Phone: (801) 397-8101

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Chronic Disease Hospital 281P00000X 2005HOSP207 Utah
Hospitals / Long Term Care Hospital 282E00000X 2016HOSP207 Utah

Profile Details

NPI number 1982647103
LBN Legal business name Providential Bba Operating Lp
DBA Doing business as Western Peaks Specialty Hospital
Authorized official Bland, David A.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 22nd, 2020 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982647103 NPPES
Utah MEDICAID 1982647103

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