Healthcare Provider Details

I. General information

NPI: 1285771220
Provider Name (Legal Business Name): CASTLEVIEW HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 04/29/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 WEST MAIN STREET
CASTLE DALE UT
84513-0607
US

IV. Provider business mailing address

PO BOX 607
CASTLE DALE UT
84513-0607
US

V. Phone/Fax

Practice location:
  • Phone: 435-381-2305
  • Fax: 435-381-5010
Mailing address:
  • Phone: 435-381-2305
  • Fax: 435-381-5010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARLOTTE LAWRENCE
Title or Position: SECRETARY
Credential:
Phone: 615-920-7000