BLUE MOUNTAIN HOSPITAL – NPI #1114152527
Clinic/Center

BLUE MOUNTAIN HOSPITAL is an AHC clinic located in BLANDING, UT. NPPES has assigned the NPI number 1114152527 to BLUE MOUNTAIN HOSPITAL on May 29, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BLUE MOUNTAIN HOSPITAL is also known by the name DIALYSIS UNIT. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 12 years ago on May 12, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE MOUNTAIN HOSPITAL below.

NPI Profile for
BLUE MOUNTAIN HOSPITAL

NPI Number
1114152527
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE MOUNTAIN HOSPITAL
Other Name: DIALYSIS UNIT
Primary location
802 S 200 W
SUITE A
BLANDING, UT 84511
Phone: (435) 678-3993 Fax: (435) 678-3992
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEREMY LYMAN
CEO
Phone: (435) 678-3993
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.