Organization Active NPI

Castleview Hospital, LLC

Doing business as Emery Medical Center

  • Rural Health Clinic/Center
  • Castle Dale, UT
National Provider Identifier
1285771220
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CASTLEVIEW HOSPITAL, LLC
Doing business as
Emery Medical Center
Practice address
90 West Main Street
Castle Dale, UT 84513-0607
Phone
(435) 381-2305
Fax
(435) 381-5010
NPI assigned
Jan 31, 2007
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

90 West Main Street
Castle Dale, UT 84513-0607

Mailing address

PO Box 607
Castle Dale, UT 84513-0607
Phone (435) 381-2305

Other names 1

  • Emery Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040105000319 UT Part B Supplier - Clinic/Group Practice 9032021043 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Castledale, UT; Price, UT
O20050622001418 UT Part A Provider - Rural Health Clinic 9032021043 Practice locations: Castle Dale, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285771220. Details of each certification follow.

Rural health clinic certification: CCN 463985

Legal name
CASTLEVIEW HOSPITAL LLC
Doing business as
EMERY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 24, 1992
Last certification
Jun 7, 2021
Ownership / control type
For profit – corporation
Organization structure
LLCProprietary
Incorporated
Nov 9, 1998 in DE
Enrollment address
90 W Main St
Castle Dale, UT 84513-4527
Related CCNs
460011

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Castleview Hospital LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

284 N Hospital Dr
Price, UT 84501
Phone (435) 634-8007

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lifepoint Corporate Services General Partnership Organization, Brentwood, TN Management services company Operational/Managerial Control Apr 15, 2005
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Lifepoint Hospitals Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest May 11, 1999 100%
Historic Lifepoint Hospitals, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Apr 27, 1999 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, Holding company, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Marcus B Poppell Individual Corporate OfficerSenior Vice President Nov 9, 1998 100%
William Ziesmer Individual Corporate OfficerChief Financial Officer Apr 1, 2024
Charlotte E Lawrence Individual Corporate OfficerSecretary Apr 4, 2022
Samuel Robert Barrett Individual Corporate OfficerPresident Feb 2, 2026
Elliott Brown Individual Corporate OfficerSenior Vice President and Treasurer Apr 2, 2026
Christopher J Monte Individual Corporate OfficerVice President Nov 9, 1998 100%
Castleview Medical, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest May 7, 1999 100%
Legacy Lifepoint Health LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Apr 15, 2005 100%
Mark C Holyoak Individual Corporate OfficerFacility Ceo Mar 17, 2025
Operational/Managerial ControlFacility Ceo Mar 17, 2025

Facilities with the same owner 195

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 195

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1285771220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "CASTLE DALE",
            "state": "UT",
            "postal_code": "845130607",
            "telephone_number": "435-381-2305",
            "fax_number": "435-381-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WEST MAIN STREET",
            "city": "CASTLE DALE",
            "state": "UT",
            "postal_code": "845130607",
            "telephone_number": "435-381-2305",
            "fax_number": "435-381-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLEVIEW HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emery Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emery Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Dale, UT

Sources for this page

Verify at the official NPI Registry.