Organization Name: | NORTHERN UTAH REHABILITATION HOSPITAL LLC |
NPI Number: | 1053732024 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLAUDE DARBY BROCKETTE (PRESIDENT) |
Mailing Address: | 5825 Harrison Blvd South Ogden |
State: | UT US |
Postal Code: | 844034316 |
Phone Number: | 8014755254 |
Fax Number: | 8014755259 |
NPI Enumeration Date: | 12/18/2013 |
NPI Last Update Date: | 10/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283X00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Rehabilitation Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |