INTERMOUNTAIN HEALTH CARE (NPI# 1144408675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144408675 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN HEALTH CARE |
| Practice Address |
3159 Eagle Rock Way Salt Lake City UT 84120-1424 |
| Practice Telephone | 8018400639 |
| Mailing Telephone | 8018400639 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | MRS. KRISTIN KAY KRISTENSEN (NNP) |
| Authorized Official Telephone | 8018400639 |
| Authorized Official Credential | BSN, MSN, APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
327855-4405 | UT | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912347451 | Intermountain Health Care | Health Educator | 5770 S 250 E Ste 310, Murray, UT 84107-8110 | 2013-06-28 |
| 1184966772 | Intermountain Health Care | General Acute Care Hospital | 1410 S Mcclelland St, Salt Lake City, UT 84105-2408 | 2013-03-21 |
| 1669770889 | Intermountain Health Care | General Acute Care Hospital | 8 Th Ave & C St, Salt Lake City, UT 84143-0001 | 2011-03-11 |
| 1558691873 | Intermountain Health Care | Nurse Practitioner | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2010-01-08 |
| 1861660268 | Intermountain Health Care | General Acute Care Hospital | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2008-02-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Intermountain Health Care, Inc. | 36 South State Street, Suite 2200, Salt Lake City, UT 84111 |
| Street Address |
3159 EAGLE ROCK WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84120-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255461075 | Shriners Hospitals for Children | General Acute Care Hospital | 1275 Fairfax Rd, Salt Lake City, UT 84103-4324 | 2007-03-07 |
| 1790230860 | Intermountain Healthcare | General Acute Care Hospital | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-08-18 |
| 1376837203 | Intermountain Healthcare | General Acute Care Hospital | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2011-06-08 |
| 1245490424 | Eric Wallace Glissmeyer | General Acute Care Hospital | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2008-06-11 |
| 1225295520 | Primary Children's Medical Center | General Acute Care Hospital | 100 N Medical Dr, Primary Children's Medical Center Pediatric Cardiology, Salt Lake City, UT 84113-1103 | 2008-05-22 |
| 1861660268 | Intermountain Health Care | General Acute Care Hospital | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2008-02-19 |
| 1154508653 | Intermountain Healthcare | General Acute Care Hospital | 100 N Medical Dr, Pcmc, Salt Lake City, UT 84113-1103 | 2008-01-28 |
| 1710162755 | Primary Children's Medical Center | General Acute Care Hospital | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1063748028 | Intermountain Healthcare | General Acute Care Hospital | 4401 Harrison Blvd, Newborn Intensive Care Unit, Ogden, UT 84403-3195 | 2009-10-27 |
| City | SALT LAKE CITY |
| Zip Code | 84120 |
Please comment or provide details below to improve the information on INTERMOUNTAIN HEALTH CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.