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BLUE MOUNTAIN HOSPITAL DIALYSIS
NPI 1033538731
General Acute Care Hospital - Critical Access in Blanding, UT

Active since April 09, 2014CLIA Certified · 2 labs
802 S 200 W, SUITE A, BLANDING, UT 84511(435) 678-3993 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blue Mountain Hospital Dialysis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE MOUNTAIN HOSPITAL DIALYSIS (NPI 1033538731) is a healthcare organization registered as a critical access in Blanding, Utah and active in the NPI registry since April 2014. The organization holds 2 active CLIA laboratory certificates and lists Jeremy Lyman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033538731
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameBLUE MOUNTAIN HOSPITAL DIALYSIS
Location Address802 S 200 W, SUITE ABlanding, UT 84511-3910
Mailing Address802 S 200 W, Suite ABlanding, UT 84511-3910 · (435) 678-3993
Phone(435) 678-3993
Organization SubpartYesParent: Blue Mountain Hospital
Authorized OfficialJeremy LymanCeo · (435) 678-3993
Enumeration DateApril 9, 2014
✔ NPI 1033538731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in UT · 2012-ESRD-90350
802 S 200 W, Blanding, UT 84511
Open in Google Maps ↗

Other Identifiers 1

Medicare OSCAR/certification1114152527UT

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2258819

Blue Mountain Hospital Dialysis Center · Blanding, UT
Active · expires Apr 26, 2028
CLIA Number46D2258819
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorPandya Manish
Laboratory Phone(435) 678-3993
Laboratory LocationBlue Mountain Hospital Dialysis Center802 S 200 W, Blanding, UT 84511
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 46D1100871

Blue Mountain Hospital · Blanding, UT
Active · expires Jul 6, 2028
CLIA Number46D1100871
Laboratory TypeHospital
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorAlex Cudkowicz
Laboratory Phone(435) 678-4631
Laboratory LocationBlue Mountain Hospital802 South 200 West Suite A, Blanding, UT 84511
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLUE MOUNTAIN HOSPITAL
Medicare Defined Swing Bed Unit
802 S 200 W
BLANDING, UT 84511
San Juan County (435) 678-3993
BLUE MOUNTAIN HOSPITAL
General Acute Care Hospital (Rural)
802 S 200 W
BLANDING, UT 84511
San Juan County (435) 678-3993
HEIDI KENNEDY PHARMD
Pharmacist
802 S 200 W, SUITE A
BLANDING, UT 84511
San Juan County (435) 678-4690
SHONTOL BURKHALTER DPT
Physical Therapist
802 S 200 W
BLANDING, UT 84511
San Juan County (435) 678-3869
BLUE MOUNTAIN HOSPITAL
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
802 S 200 W, SUITE A
BLANDING, UT 84511
San Juan County (435) 678-3993
JAMES RYAN PALMER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
802 S 200 W
BLANDING, UT 84511
San Juan County (435) 767-0517
SHELBY LYN WEBB OTR/L
Occupational Therapist
802 S 200 W
BLANDING, UT 84511
San Juan County (435) 678-3869
MARIO DAMON LA GIGLIA DO
Surgery
802 S 200 W
BLANDING, UT 84511
San Juan County (435) 678-3993

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Mountain Hospital Dialysis's NPI number?

The NPI number for Blue Mountain Hospital Dialysis is 1033538731. It was assigned to this organization in the NPPES registry on April 9, 2014.

Where is Blue Mountain Hospital Dialysis located?

Blue Mountain Hospital Dialysis is located at 802 S 200 W Suite A, Blanding, UT 84511. The listed phone number is (435) 678-3993.

What is Blue Mountain Hospital Dialysis's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Does Blue Mountain Hospital Dialysis hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Blue Mountain Hospital Dialysis was last updated on April 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.