BLUE MOUNTAIN HOSPITAL — NPI 1114152527 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in BLANDING, UT)

CMS-1500 Box 24J / 33a • NPI

1114152527

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QE0700X (CMS B4[14])

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

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

Official NPPES Practice Location

Practice Phone & Referral Fax

(435) 678-3993

Fax: (435) 678-3992

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114152527 (BLUE MOUNTAIN HOSPITAL) 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	`1114152527` (NPI-2 Organization / Facility)
Provider / Legal Name	BLUE MOUNTAIN HOSPITAL
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QE0700X` (Clinic/Center, End-Stage Renal Disease (ESRD) Treatment)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	802 S 200 W, SUITE A, BLANDING, UT, 84511
Practice Telephone / Fax	Tel: (435) 678-3993 \| Fax: (435) 678-3992
Administrative Mailing Address	802 S 200 W, BLANDING, UT, 84511
Enumeration & Last Sync	Enumerated: 2009-05-29 \| CMS Record Updated: 2014-05-12
Authorized Official	JEREMY LYMAN (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

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

🗺️ Open in Google Maps 🏥 More Providers in BLANDING

🔒 Are you BLUE MOUNTAIN HOSPITAL? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (261QE0700X)

What Does Taxonomy Code 261QE0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QE0700X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (End-Stage Renal Disease Facility)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BLUE MOUNTAIN HOSPITAL)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QE0700X` — Clinic/Center, End-Stage Renal Disease (ESRD) Treatment Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Secondary
`261QE0700X` — Clinic/Center, End-Stage Renal Disease (ESRD) Treatment Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: UT \| License: `2012-ESRD-90350` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

BLUE MOUNTAIN HOSPITAL (NPI #1114152527)