Provider Demographics
NPI:1417064205
Name:CASTLEVIEW HOSPITAL LLC
Entity Type:Organization
Organization Name:CASTLEVIEW HOSPITAL LLC
Other - Org Name:CASTLEVIEW HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT VICE PRESIDENT, SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-920-7000
Mailing Address - Street 1:330 SEVEN SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5098
Mailing Address - Country:US
Mailing Address - Phone:615-920-7000
Mailing Address - Fax:615-920-8913
Practice Address - Street 1:300 N HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-4218
Practice Address - Country:US
Practice Address - Phone:435-637-4800
Practice Address - Fax:435-637-9513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2004-HOSP-170282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT030045500OtherDEPT. OF LABOR
UT103002096101OtherSELECT CHOICE
UT35746OtherDESERET MUTUAL BENEFITS
UT1237497OtherUNITED MINEWORKERS
UT2935OtherPUBLIC EMPLOYEES HEALTH P
UT8760007930100OtherBCBS
UT103002096101OtherSELECT CHOICE
UT=========CA1OtherEDUCATORS MUTUAL
UT35746OtherDESERET MUTUAL BENEFITS
UT=========CA1OtherEDUCATORS MUTUAL