Organization
PROVIDENTIAL BBA OPERATING LP
Active
Other names
South Davis Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A. BLAND (CEO)
(801) 397-8101
Entity
Organization
Contact information
Practice address
481 SOUTH 400 EAST, BOUNTIFUL, UT 84010-8401
(801) 295-2361
(801) 295-1398
Mailing address
401 SOUTH 400 EAST, BOUNTIFUL, UT 84010-4933
(801) 295-2361
(801) 295-1398
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2006HOSPICE842
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215970835
—
UT
05
—
=========
—
UT
Enumeration date
06/13/2006
Last updated
06/24/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us