Organization
CACHE VALLEY SPECIALTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S GEARY (CFO)
(435) 713-9582
Entity
Organization
Contact information
Practice address
2380 N 400 E, NORTH LOGAN, UT 84341-1749
(435) 713-9700
(435) 753-8005
Mailing address
2380 N 400 E, NORTH LOGAN, UT 84341-6000
(435) 713-9700
(435) 753-8005
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2005-HOSP-14503
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115751500
—
WY
05
—
8059105
—
UT
Enumeration date
02/15/2006
Last updated
07/29/2013
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