NPIMap

Organization Active NPI

Blue Mountain Hospital Dialysis

  • Critical Access Hospital
  • Blanding, UT
National Provider Identifier
1033538731
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
2012-ESRD-90350 Issued in UT
Legal business name
BLUE MOUNTAIN HOSPITAL DIALYSIS
Practice address
802 S 200 W
Suite a
Blanding, UT 84511-3910
Phone
(435) 678-3993
NPI assigned
Apr 9, 2014
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BLUE MOUNTAIN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeremy Lyman, MBA
Title
Ceo
Phone
(435) 678-3993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 2012-ESRD-90350 UT Primary

Addresses

Primary practice location

802 S 200 W
Suite a
Blanding, UT 84511-3910

Mailing address

802 S 200 W
Suite a
Blanding, UT 84511-3910
Phone (435) 678-3993

National Provider Directory

National Provider Directory
Tax ID family
Blue Mountain Hospital4 organizations share this tax ID, including this one
Part of
Blue Mountain Hospital

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16299/brand/1/csg/1/fhir/r4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1033538731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S 200 W",
            "address_2": "SUITE A",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113910",
            "telephone_number": "435-678-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S 200 W",
            "address_2": "SUITE A",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113910",
            "telephone_number": "435-678-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE MOUNTAIN HOSPITAL DIALYSIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE MOUNTAIN HOSPITAL",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "LYMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-678-3993",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "UT",
            "license": "2012-ESRD-90350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blanding, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.