MEDICARE: SNOWBIRD RESORT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	90687691703	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2147662	OTHER		PK

General Provider Information

NPI Number	:	1235311176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNOWBIRD RESORT LLC

Provider Business Mailing Address
First Line	:	9385 S SNOWBIRD CENTER DR
Second Line	:
City	:	SNOWBIRD
State	:	UT
Zip	:	84092-6249
Country	:	US
Telephone Number	:	801-933-2275
Fax Number	:	801-933-2463

Provider Business Practice Location Address
First Line	:	9385 S SNOWBIRD CENTER DR
Second Line	:
City	:	SNOWBIRD
State	:	UT
Zip	:	84092-6249
Country	:	US
Telephone Number	:	801-933-2275
Fax Number	:	801-933-2463

Authorized Official
Title or Position	:	RPH, PIC
Name	:	WILLIAM HOGE
Credential	:
Telephone Number	:	801-933-2275

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	08/16/2016

Similar Medicare Providers

1851904247 — UNIVERSITY OF UTAH ADULT SERVICES
Practice Location Address:

9385 S SNOWBIRD CENTER DR
SANDY, UT
84092-6249

Practice Phone: 801-587-7109
Practice Fax:

1386257152 — UNIVERSITY OF UTAH PEDIATRIC SERVICES
Practice Location Address:

9385 S SNOWBIRD CENTER DR
SANDY, UT
84092-6249

Practice Phone: 801-587-7109
Practice Fax:

1194853390 — MR. WILLIAM S HOGE RPH
Practice Location Address:

9500 E LITTLE COTTONWOOD CNY RD
SNOWBIRD, UT
84092-0000

Practice Phone: 801-933-2275
Practice Fax: 801-933-2463

1841466018 — DR. VAN O. AUSTIN M.D.
Practice Location Address:

9500 EAST LITTLE COTTONWOOD CANYON ROAD , BOX 920013
SNOWBIRD, UT
84092-0013

Practice Phone: 801-891-4887
Practice Fax:

1558351007 — DR. ELIZABETH ANN EARLE PH.D.
Practice Location Address:

4568 S HIGHLAND DR STE 270
SALT LAKE CITY, UT
84117

Practice Phone: 801-478-2780
Practice Fax: 801-478-2781

1497739387 — NUSRAT AHMED M.D.
Practice Location Address:

1020 S MAIN ST , SUIT #100
SALT LAKE CITY, UT
84101-3176

Practice Phone: 801-572-0133
Practice Fax: 801-539-7050

Directions to “SNOWBIRD RESORT LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.