| NPI | 1972938975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DAVID TILLER Clinical Director 435-574-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: UT 7300098-1205) |
| Additional Taxonomies | 281P00000X Chronic Disease Hospital (Licence: UT 7300098-1205) |
| 283X00000X Rehabilitation Hospital (Licence: UT 7300098-1205) | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |