NPIMap

Blue Mountain Hospital

A Medicare group practice based in Blanding, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0749344661), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0749344661The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - End-Stage Renal Disease Facility (ESRD), Part B Supplier - Clinic/Group Practice
Enrolled in
UT
Enrollments
4
Group size
9 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 1 place

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20090203000527 UT Part B Supplier - Clinic/Group Practice 1558513812
O20090914000231 UT Part A Provider - End-Stage Renal Disease Facility (ESRD) 1114152527
O20100517000228 UT Part A Provider - Critical Access Hospital 1558513812
O20101115001089 UT Part A Provider - Critical Access Hospital 1558513812

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (9).

Sources for this page