Healthcare Provider Details

I. General information

NPI: 1013851526
Provider Name (Legal Business Name): LONE PEAK HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13306 S FORT HERRIMAN PKWY
HERRIMAN UT
84096-1651
US

IV. Provider business mailing address

13306 S FORT HERRIMAN PKWY
HERRIMAN UT
84096-1651
US

V. Phone/Fax

Practice location:
  • Phone: 801-545-8000
  • Fax:
Mailing address:
  • Phone: 801-545-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRIAN ROBERT LINES
Title or Position: CEO
Credential:
Phone: 801-545-8013