Milford Memorial Hospital
Organization Active NPI Critical Access Hospital · Milford, UT
NPI 1427064211 · NPPES record last updated Jan 7, 2020
Key facts
- NPI
- 1427064211
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 2005-HOSP-192 (UT)
- Legal business name
- MILFORD MEMORIAL HOSPITAL
- Practice address
- 850 N Main St
Milford, UT 84751-7871 - Phone
- (435) 387-2411
- Fax
- (435) 387-5011
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Tyler Moss
- Title
- Cfo
- Phone
- (435) 438-7209
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 5
Related certifications (CCN) 1
Facilities with the same owner 1
Practitioners 5
-
Paul L Marshall, LSCW
-
Ty Kyle Beard, LCSW
-
Lindsay Ann Cheney, APRN
-
Joan Yardley, A.P. R.N.
Affiliated clinicians 8
-
Ty Kyle Beard, LCSW
-
Lindsay Ann Cheney, APRN
-
Richard Wade Oakden, M.D.
-
Lance Clyde Smith, M.D.
-
Rhett R Smith, M.D.
-
Joan Yardley, A.P. R.N.
Medicare Care Compare: Hospital
- Listed as
- Milford Memorial Hospital
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in UT
Hospital certification: CCN 461305
- Legal name
- MILFORD MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Mar 12, 2004
- Last certification
- Jan 8, 2020
- Beds
- 23
- Ownership / control type
- Other
- Organization structure
- Government · Non-profit
- Incorporated
- Mar 26, 1953 in UT
- Enrollment address
- 850 N Main St
Milford, UT 84751-7871
Hospital certification: CCN 46Z305
- Legal name
- MILFORD MEMORIAL HOSPITAL
- Organization structure
- Government · Non-profit
- Incorporated
- Mar 26, 1953 in UT
- Enrollment address
- 850 N Main St
Milford, UT 84751-7871
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Milford Area Health Care Service District #3 |
5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Scott a Langford |
Corporate Officer |
Jan 1, 2018 | 100% |
| Operational/Managerial Control |
Jan 1, 2018 | 100% |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Milford Memorial Hospital |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Oct 2, 2022 |
| Monument Healthcare Bountiful |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF Direct Ownership Interest (100%) |
Feb 1, 2024 Feb 1, 2024 Mar 6, 2025 Feb 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031212000735 | UT | Part a Provider - Critical Access Hospital | 8426955055 |
Receives reassigned benefits from 5 practitioners Practice locations: Milford, UT |
| O20080429000399 | UT | Part a Provider - Critical Access Hospital | 8426955055 | Practice locations: Milford, UT |
National Provider Directory
- Tax ID family
- Milford Valley Mem Ambu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 2007-HOSP-192 | UT | |
| Critical Access Hospital | 282NC0060X | 2005-HOSP-192 | UT | Yes |
| Ambulance | 341600000X | UT |
Addresses
Primary practice location
850 N Main St
Milford, UT 84751-7871
Mailing address
PO Box 640
Milford, UT 84751-0640
Phone (435) 387-2411
Other providers in Milford, UT
- Ty Kyle Beard
- Beaver Medical, LLC
- Gary W. Clark a Professional Corporation
- Lost and Found Youth Academy
- Milford Pharmacy Services
- Painted Hills Academy
- Whitney A Reynolds
All providers in Milford, UT · Critical Access Hospital in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.