MEDICARE: CASTLEVIEW HOSPITAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1285771220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASTLEVIEW HOSPITAL, LLC

Provider Business Mailing Address
First Line	:	PO BOX 607
Second Line	:
City	:	CASTLE DALE
State	:	UT
Zip	:	84513-0607
Country	:	US
Telephone Number	:	435-381-2305
Fax Number	:	435-381-5010

Provider Business Practice Location Address
First Line	:	90 WEST MAIN STREET
Second Line	:
City	:	CASTLE DALE
State	:	UT
Zip	:	84513-0607
Country	:	US
Telephone Number	:	435-381-2305
Fax Number	:	435-381-5010

Authorized Official
Title or Position	:	SECRETARY
Name	:	CHARLOTTE LAWRENCE
Credential	:
Telephone Number	:	615-920-7000

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	04/29/2024

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Directions to “CASTLEVIEW HOSPITAL, LLC ” Practice Location

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