Organization · Type 2 NPI

Blue Mountain Hospital

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Blanding, UT

NPI number 1114152527 Active

Practice location

802 S 200 W, Suite A
Blanding, UT 84511

Fax (435) 678-3992

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700XNone listed
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X2012-ESRD-90350 (UT)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1114152527

Blue Mountain Hospital's National Provider Identifier is 1114152527, issued on May 29, 2009. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Blanding, UT. The record was last updated on May 12, 2014.