BLUE MOUNTAIN HOSPITAL DIALYSIS — NPI 1033538731 (Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) in BLANDING, UT)

CMS-1500 Box 24J / 33a • NPI

1033538731

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

282NC0060X (CMS A0[7])

Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)

Box 32 Service Location & ZIP+4

802 S 200 W, SUITE A, BLANDING, UT, 84511-3910

✓ 9-Digit EDI 837 ZIP+4 (84511-3910)

Practice Phone & Referral Fax

(435) 678-3993

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033538731 (BLUE MOUNTAIN HOSPITAL DIALYSIS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033538731` (NPI-2 Organization / Facility)
Provider / Legal Name	BLUE MOUNTAIN HOSPITAL DIALYSIS
Plain-English Specialty	Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) NUCC Code: `282NC0060X` (General Acute Care Hospital, Critical Access)
Certifying / Licensing Body	The Joint Commission (TJC) / CMS Conditions of Participation (CoP)
Practice Location Address	802 S 200 W, SUITE A, BLANDING, UT, 84511-3910
Practice Telephone / Fax	Tel: (435) 678-3993
Administrative Mailing Address	802 S 200 W, BLANDING, UT, 84511-3910
Enumeration & Last Sync	Enumerated: 2014-04-09 \| CMS Record Updated: 2014-04-09
Authorized Official	JEREMY LYMAN (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

802 S 200 W, SUITE A, BLANDING, UT, 84511-3910

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Plain-English Taxonomy & CMS Crosswalk (282NC0060X)

What Does Taxonomy Code 282NC0060X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 282NC0060X translates to:
"Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A0[7] (Critical Access Hospital)
Certifying / Accrediting Authority: The Joint Commission (TJC) / CMS Conditions of Participation (CoP)
Clinical Scope: Acute chest pain, stroke symptoms (F.A.S.T.), severe shortness of breath, major trauma, high fever with sepsis signs, acute abdominal pain, or surgical emergencies.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BLUE MOUNTAIN HOSPITAL DIALYSIS)

Typical CPT / Diagnostic Procedures:

Emergency Department Resuscitation & Trauma Stabilization (CPT 99281–99285)
Inpatient Acute Medical & Critical Care Admission (DRG / CPT 99221–99291)
Cross-Sectional Diagnostic Imaging: CT, MRI & Ultrasound
Inpatient General, Orthopedic & Cardiothoracic Surgery
24-Hour Clinical Laboratory, Blood Bank & Microbiology Services

Common Therapeutic Classes:

Broad-Spectrum IV Antimicrobials (Ceftriaxone, Piperacillin-Tazobactam, Vancomycin, Linezolid)
Parenteral Anticoagulants & Thrombolytics (Heparin, Enoxaparin, Alteplase)
Balanced Crystalloid Infusions & Oral Rehydration Protocols
Perioperative Anesthetics, Vasopressors & Analgesics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`282NC0060X` — General Acute Care Hospital, Critical Access Plain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)	State: UT \| License: `2012-ESRD-90350` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BLUE MOUNTAIN HOSPITAL DIALYSIS (NPI #1033538731)