=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013851526
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LONE PEAK HOSPITAL, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/15/2026
-----------------------------------------------------
Last Update Date | 04/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13306 S FORT HERRIMAN PKWY
-----------------------------------------------------
City | HERRIMAN
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84096-1651
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-545-8000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13306 S FORT HERRIMAN PKWY
-----------------------------------------------------
City | HERRIMAN
-----------------------------------------------------
State | UT
-----------------------------------------------------
Zip | 84096-1651
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 801-545-8000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | BRIAN ROBERT LINES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 801-545-8013
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QE0002X
-----------------------------------------------------
Taxonomy Name | Emergency Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------