# HEALTHTRUST UTAH MGMT SERVICES, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountainstar Professional Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710273297
- **Authorized official:** JODY DIAL (DIVISION CONTROLLER)
- **Authorized official phone:** (801) 568-5977

## Contact information

- **Practice address:** 6985 UNION PARK CTR, STE 500, COTTONWOOD HEIGHTS, UT 84047-4177
- **Practice address phone:** (801) 568-5977
- **Mailing address:** PO BOX 271220, SALT LAKE CITY, UT 84127-1220
- **Mailing address phone:** (801) 736-0720
- **Mailing address fax:** (801) 366-9883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 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