Organization
BLUE MOUNTAIN HOSPITAL DIALYSIS
Active
Parent organization
BLUE MOUNTAIN HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE MOUNTAIN HOSPITAL
Authorized official
JEREMY LYMAN MBA (CEO)
(435) 678-3993
Entity
Organization
Contact information
Practice address
802 S 200 W, SUITE A, BLANDING, UT 84511-3910
(435) 678-3993
Mailing address
802 S 200 W, SUITE A, BLANDING, UT 84511-3910
(435) 678-3993
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
2012-ESRD-90350
UT
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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