Organization
BLUE MOUNTAIN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY LYMAN MBA (CEO)
(435) 678-3993
Entity
Organization
Contact information
Practice address
802 S 200 WEST, SUITE A, BLANDING, UT 84511
(435) 678-3993
(435) 678-3992
Mailing address
802 S 200 WEST, SUITE A, BLANDING, UT 84511
(435) 678-3993
(435) 678-3992
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
2011-HOSP-96389
UT
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
2010-ESRD-90350
UT
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558513812
—
UT
05
—
452579
—
AZ
Enumeration date
10/17/2008
Last updated
09/19/2023
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