National Provider Identifier Database

BRISTOL HOSPICE UTAH LLC
Hospice Care, Community Based


Contact Information

BRISTOL HOSPICE - UTAH, L.L.C.
1638 N WASHINGTON BLVD
OGDEN, UT84404-3763
Phone: 801-924-0867
Fax: 801-747-3864
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for BRISTOL HOSPICE - UTAH, L.L.C.

NPI Number 1164527792
Legal business name
LBN
BRISTOL HOSPICE - UTAH, L.L.C.
Authorized official ALEX MAURICIO - (PRESIDENT/CEO)
Entity Organization
Organization subpart Yes
Enumeration date 09/14/2006
Last updated 02/23/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • UT Medicaid: 1164527792

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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