Organization
WILLOW CREEK HOSPICE OF UTAH, LLC
Active
Organization
WILLOW CREEK HOSPICE OF UTAH, LLC
Active
Other names
Pine Mountain Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
TRACE D. OSBORNE CPA (ACCOUNTANT)
(801) 277-3298
Entity
Organization
Contact information
Practice address
1244 N MAIN ST, SUITE 103, TOOELE, UT 84074-9838
(435) 248-0771
(435) 248-0777
Mailing address
5200 S HIGHLAND DR, SUITE 200, HOLLADAY, UT 84117-7057
(801) 277-3298
(801) 277-3598
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272046420001
—
UT
Enumeration date
09/03/2013
Last updated
02/21/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up