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Organization
HEALTHTRUST UTAH MGMT SERVICES, INC
Active
Organization
HEALTHTRUST UTAH MGMT SERVICES, INC
Active
Other names
Mountainstar Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
JODY DIAL (DIVISION CONTROLLER)
(801) 568-5977
Entity
Organization
Contact information
Practice address
6985 UNION PARK CTR, STE 500, COTTONWOOD HEIGHTS, UT 84047-4177
(801) 568-5977
Mailing address
PO BOX 271220, SALT LAKE CITY, UT 84127-1220
(801) 736-0720
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NULL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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