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NPI Code Detail

MEDICARE: LANDMARK HOSPITAL OF SALT LAKE CITY, LLC

MEDICARE: LANDMARK HOSPITAL OF SALT LAKE CITY, 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
1282E00000XLong Term Care Hospital2013-HOSP-UT000575UT

General Provider Information

NPI Number : 1689913451
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANDMARK HOSPITAL OF SALT LAKE CITY, LLC
Provider Business Mailing Address
First Line : PO BOX 267
Second Line :
City : JACKSON
State : MO
Zip : 63755-0267
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4252 S BIRKHILL BLVD
Second Line :
City : MURRAY
State : UT
Zip : 84107-5715
Country : US
Telephone Number : 385-234-0944
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. SCOTT BLAKLEY
Credential :
Telephone Number : 385-234-0944
Provider Enumeration Date : 02/13/2013
Last Update Date : 03/09/2026

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Directions to “LANDMARK HOSPITAL OF SALT LAKE CITY, LLC ” Practice Location

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