OrganizationActive
Blue Mountain Hospital
NPI 1114152527 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Blanding, UT
Provider details
- NPI number
- 1114152527
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeremy Lyman, Ceo(435) 678-3993
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
802 S 200 W
Suite a
Blanding, UT 84511
Phone: (435) 678-3993
Fax: (435) 678-3992
Approximate (ZIP-level) locationGet directions
Mailing address
802 S 200 W
Blanding, UT 84511
Other names (DBA / former)
- Other name
- Dialysis Unit
Registry dates
- Enumerated
- 2009-05-29
- Last updated
- 2014-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.