Healthcare Provider Details

I. General information

NPI: 1265398242
Provider Name (Legal Business Name): KANE COUNTY HOSPITAL HUMAN RESOURCE SPECIAL SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W 1425 N
CEDAR CITY UT
84721-8872
US

IV. Provider business mailing address

333 W 1425 N
CEDAR CITY UT
84721-8872
US

V. Phone/Fax

Practice location:
  • Phone: 435-267-1700
  • Fax: 435-267-1699
Mailing address:
  • Phone: 435-267-1700
  • Fax: 435-267-1699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SOON BURNAM
Title or Position: SECRETARY OT MANAGEMENT COMPANY
Credential:
Phone: 949-540-1249