Healthcare Provider Details

I. General information

NPI: 1295789279
Provider Name (Legal Business Name): MOUNTAIN VIEW HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 01/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 E 100 N
PAYSON UT
84651-1600
US

IV. Provider business mailing address

1000 E 100 N
PAYSON UT
84651-1600
US

V. Phone/Fax

Practice location:
  • Phone: 801-465-7222
  • Fax: 801-465-7170
Mailing address:
  • Phone: 801-465-9201
  • Fax: 801-465-7170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: STEVEN SCHRAMM
Title or Position: CFO
Credential:
Phone: 801-465-7100