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PINE MOUNTAIN HOSPICE
NPI 1609201144
Hospice Care, Community Based in Tooele, UT

Active since September 03, 2013
1244 N MAIN ST, SUITE 103, TOOELE, UT 84074(435) 248-0771(435) 248-0777 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Mountain Hospice NPPES

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

PINE MOUNTAIN HOSPICE (NPI 1609201144) is a healthcare organization registered as a hospice care, community based in Tooele, Utah and active in the NPI registry since September 2013. The organization lists Trace D. Osborne, Accountant, as its authorized official.

NPPES Registry Identity

NPI1609201144
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameWILLOW CREEK HOSPICE OF UTAH, LLC
Location Address1244 N MAIN ST, SUITE 103Tooele, UT 84074-9838
Mailing Address5200 S Highland Dr, Suite 200Holladay, UT 84117-7057 · (801) 277-3298 · Fax (801) 277-3598
Phone(435) 248-0771
Fax(435) 248-0777
Organization SubpartNo
Authorized OfficialTrace D. OsborneAccountant · (801) 277-3298
Enumeration DateSeptember 3, 2013
Last NPPES UpdateFebruary 21, 2014
✔ NPI 1609201144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
1244 N MAIN ST, Tooele, UT 84074
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Other Names 1

Doing Business AsPine Mountain Hospice

Other Identifiers 2

Medicare OSCAR/certification461586UT
Medicaid272046420001UT

Other Providers at the Same Location NPPES 6

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

PINE MOUNTAIN HOME HEALTH, LLC
Hospice Care, Community Based
1244 N MAIN ST, SUITE 103
TOOELE, UT 84074
Tooele County (435) 248-0771
MIRA COUNSELING SERVICES, LLC
Social Worker (Clinical)
1244 N MAIN ST
TOOELE, UT 84074
Tooele County (801) 448-6523
HILARY ANN SIKOCHI LCSW
Social Worker (Clinical)
1244 N MAIN ST
TOOELE, UT 84074
Tooele County (801) 448-6523
GLENN HUNTER THOMPSON D.C.
Chiropractor
1244 N MAIN ST, SUITE100
TOOELE, UT 84074
Tooele County (435) 833-9200
DR. JOHN TODD MCPHIE D.C.
Chiropractor
1244 N MAIN ST, STE 100
TOOELE, UT 84074
Tooele County (801) 884-9126
PAULA STOCKMAN BRADLEY PA-C
Physician Assistant (Medical)
1244 N MAIN ST, STE 201
TOOELE, UT 84074
Tooele County (435) 882-3968

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 Willow Creek Hospice Of Utah, LLC's NPI number?

The NPI number for Willow Creek Hospice Of Utah, LLC is 1609201144. It was assigned to this organization in the NPPES registry on September 3, 2013. The provider is doing business as Pine Mountain Hospice.

Where is Willow Creek Hospice Of Utah, LLC located?

Willow Creek Hospice Of Utah, LLC is located at 1244 N Main St Suite 103, Tooele, UT 84074. The listed phone number is (435) 248-0771.

What is Willow Creek Hospice Of Utah, LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

When was this NPI record last updated?

The NPPES record for Willow Creek Hospice Of Utah, LLC was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.