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NPI Code Detail

MEDICARE: ASHLEY VALLEY MEDICAL CENTER LLC

MEDICARE: ASHLEY VALLEY MEDICAL CENTER 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
1282NR1301XRural Acute Care Hospital2004HOSP165UT
2282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1447296249
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASHLEY VALLEY MEDICAL CENTER LLC
Provider Business Mailing Address
First Line : 150 W. 100 N.
Second Line :
City : VERNAL
State : UT
Zip : 84078
Country : US
Telephone Number : 435-789-3342
Fax Number : 435-789-1314
Provider Business Practice Location Address
First Line : 150 W 100 N
Second Line :
City : VERNAL
State : UT
Zip : 84078-2036
Country : US
Telephone Number : 435-789-3342
Fax Number : 435-789-1314
Authorized Official
Title or Position : SECRETARY
Name : CHARLOTTE LAWRRENCE
Credential :
Telephone Number : 615-920-7000
Provider Enumeration Date : 06/21/2006
Last Update Date : 04/29/2024

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Directions to “ASHLEY VALLEY MEDICAL CENTER LLC ” Practice Location

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