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Contact Information

MISSION HEALTH SERVICES
460 W 600 N
TREMONTON, UT84337-2400
 Phone: 435-257-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for MISSION HEALTH SERVICES

NPI Number 1518149152
LBN Legal business name MISSION HEALTH SERVICES
Authorized official GARY KELSO - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/05/2007
Last updated 08/18/2014 - About 12 years ago
Identifiers
UT License # 2007 NCF 82143
UT Medicaid 1366650343
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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