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SHADOW MOUNTAIN DETOX HOSPITAL, ST. GEORGE
NPI 1831505874
Special Hospital in St. George, UT

Active since July 10, 2014
120 W. 1470 SOUTH, BUILDING B, ST. GEORGE, UT 84770(435) 272-0220(435) 272-0222 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shadow Mountain Detox Hospital, St. George NPPES

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

SHADOW MOUNTAIN DETOX HOSPITAL, ST. GEORGE (NPI 1831505874) is a healthcare organization registered as a special hospital in St. George, Utah and active in the NPI registry since July 2014. The organization lists Jackie Holub, Vice President, as its authorized official.

NPPES Registry Identity

NPI1831505874
Entity TypeOrganization
Primary Taxonomy284300000X
Legal Business NameSHADOW MOUNTAIN LLC.
Location Address120 W. 1470 SOUTH, BUILDING BSt. George, UT 84770
Mailing AddressPo Box 830525, Department # Sf 59Birmingham, AL 35283-0525 · (931) 451-7757 · Fax (931) 933-7762
Phone(435) 272-0220
Fax(435) 272-0222
Organization SubpartNo
Authorized OfficialJackie HolubVice President · (925) 389-8591
Enumeration DateJuly 10, 2014
Last NPPES UpdateApril 26, 2017
✔ NPI 1831505874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecial HospitalHospitals
Taxonomy Code284300000X
Definition
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
120 W. 1470 SOUTH, St. George, UT 84770
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Other Names 1

Doing Business AsShadow Mountain Detox Hospital, St. George

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 Shadow Mountain LLC.'s NPI number?

The NPI number for Shadow Mountain LLC. is 1831505874. It was assigned to this organization in the NPPES registry on July 10, 2014. The provider is doing business as Shadow Mountain Detox Hospital, St. George.

Where is Shadow Mountain LLC. located?

Shadow Mountain LLC. is located at 120 W. 1470 South Building B, St. George, UT 84770. The listed phone number is (435) 272-0220.

What is Shadow Mountain LLC.'s specialty?

The primary specialty registered for this NPI is Special Hospital with taxonomy code 284300000X.

When was this NPI record last updated?

The NPPES record for Shadow Mountain LLC. was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.