Organization · Type 2 NPI

Providential Bba Operating LP

Long Term Care Hospital · Bountiful, UT

NPI number 1982647103 Active

Practice location

485 E 500 S
Bountiful, UT 84010-3801

Call (801) 295-2361 Map

Fax (801) 295-1398

Mailing address

401 South 400 East
Bountiful, UT 84010

Specialties and licenses

Taxonomy	Code	License
Chronic Disease Hospital	281P00000X	2005HOSP207 (UT)
Long Term Care Hospital Primary	282E00000X	2016HOSP207 (UT)

Long Term Care Hospital: Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

6 other providers at this address

Other long term care hospital providers in Bountiful

Val Verda Healthcare LLCLong Term Care Hospital Bountiful, UT NPI 1316797665

See all in Bountiful →

NPI record

NPI: 1982647103
Entity type: Organization (Type 2)
Issued: Jun 14, 2006
Last updated: Jun 22, 2020
Status: Active

Other names

<unavail>
Specialty Hospital of Utah · doing business as
Western Peaks Specialty Hospital · doing business as
Western Peaks Specialty Hospital · doing business as
Specialty Hospital of Utah · other name

Authorized official

David A. Bland
CEO
(801) 397-8101

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1982647103

Providential Bba Operating LP's National Provider Identifier is 1982647103, issued on Jun 14, 2006. The primary taxonomy on file is Long Term Care Hospital (282E00000X), and the practice location is in Bountiful, UT. The record was last updated on Jun 22, 2020.