Organization
ZION HEALTHCARE COMPLEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M KELSO (PRESIDENT)
(816) 232-9573
Entity
Organization
Contact information
Practice address
416 N STATE ST, HURRICANE, UT 84737-1875
(435) 635-9833
(435) 635-9842
Mailing address
5007 S MISSION DR, SAINT JOSEPH, MO 64505-9404
(816) 232-9573
(816) 232-9596
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2005 NCF 471
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
742561471013
—
UT
Enumeration date
12/27/2005
Last updated
08/22/2020
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