| NPI | 1043764871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG L SKOUSEN Case Management Director 435-251-1061 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: UT 130864-3501) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |