# PULMONARY HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497191001
- **Authorized official:** MISS MARY CANNON (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (801) 266-0399

## Contact information

- **Practice address:** 2307 N HILL FIELD RD STE 102, LAYTON, UT 84041-6890
- **Practice address phone:** (801) 266-0399
- **Practice address fax:** (801) 266-0421
- **Mailing address:** 4885 S 900 E STE 107, SALT LAKE CITY, UT 84117-3905
- **Mailing address phone:** (801) 266-0399
- **Mailing address fax:** (801) 266-0421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 227800000X | Certified Respiratory Therapist | 6209500-5701 | UT | Yes |

## Other

- **Enumeration date:** 05/22/2013
- **Last updated:** 08/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 103007426101 | SELECTHEALTH | UT |
| 01 | — | 44447000001001 | BLUE CROSS PROVIDER NUMBER | UT |
| 01 | — | 61101 | HUMANA | UT |
| 01 | — | 73301 | PEHP | UT |
| 01 | — | 781709 | DESERET MUTUAL | UT |
| 01 | — | P00291261 | RR MEDICARE | UT |
| 01 | — | QM000064662 | ALTIUS | UT |