# BLUE MOUNTAIN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Mountain Hospital-Swing Beds
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578880415
- **Authorized official:** MR. LORIN C MACKAY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (435) 678-3993

## Contact information

- **Practice address:** 802 S 200 W, BLANDING, UT 84511-3910
- **Practice address phone:** (435) 678-3993
- **Practice address fax:** (435) 678-3992
- **Mailing address:** 802 S 200 W, BLANDING, UT 84511-3910
- **Mailing address phone:** (435) 678-3993
- **Mailing address fax:** (435) 678-3992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 2009-HOSP-90347 | UT | Yes |

## Other

- **Enumeration date:** 05/03/2010
- **Last updated:** 05/03/2010