Blue Mountain Hospital Dialysis

NPI 1033538731 - General Acute Care Hospital - 282NC0060X

NPI Details
NPI 1033538731
Enumeration Date 04/09/2014
Last Updated 04/09/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JEREMY JEREMY
Position CEO
Phone (435) 678-3993
Fax
Practice Location
802 S 200 W
SUITE A
BLANDING UT, 84511-3910, US
Phone (435) 678-3993
Fax
Business Location
802 S 200 W
SUITE A
BLANDING UT, 84511-3910, US
Phone (435) 678-3993
Fax
Toxanomy
Taxonomy Code 282NC0060X
License State Utah
License Number 2012-ESRD-90350
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According to our database, Blue Mountain Hospital Dialysis NPI is 1033538731, taxonomy code is 282NC0060X and license number is 2012-ESRD-90350, license state is located at Utah. Blue Mountain Hospital Dialysis physically located at 802 S 200 W, Blanding UT, 84511-3910. NPI Number 1033115704 has the healthcare provider type.

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1033538731 NPI number is provided on an as is basis without warranty of any kind. 1033538731 is maintained by the National Plan & Provider Enumeration System. The contents of Blue Mountain Hospital Dialysis are for informational purposes only.