Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadow Mountain LLC

Organization Special Hospital · NPI 1831505874

Shadow Mountain LLC is a Special Hospital in St George, Utah. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

120 W 1470 S Bldg B
St George, UT 84770
Phone: (435) 272-0220
Fax: (435) 272-0222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Special Hospital (primary) Taxonomy 284300000X

Record details

NPI number1831505874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Holub — Vice President · (925) 389-8591
Other names Shadow Mountain Detox Hospital, St. George
NPI enumeratedJuly 10, 2014
Last updated in NPPESApril 26, 2017
Mailing addressPo Box 830525, Department # Sf 59, Birmingham, AL 35283-0525

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