KPC PROMISE HOSPITAL OF SALT LAKE LLC (NPI# 1154985695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154985695 |
| Entity Type | Organization |
| Organization Name | KPC PROMISE HOSPITAL OF SALT LAKE LLC |
| Practice Address |
4252 S Birkhill Blvd Murray UT 84107-5715 |
| Mailing Address |
9 Kpc Pkwy Ste 301 Corona CA 92879-7102 |
| Practice Telephone | 8014087100 |
| Mailing Telephone | 9519878100 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | WILLIAM THOMAS (SECRETARY) |
| Authorized Official Telephone | 9519878100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901870 | Kpc Promise Hospital of Salt Lake LLC | Pharmacy | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2020-08-04 |
| Street Address |
4252 S BIRKHILL BLVD |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598733297 | Scott Paul Frost | Physical Therapist | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2006-03-09 |
| 1851901870 | Kpc Promise Hospital of Salt Lake LLC | Pharmacy | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2020-08-04 |
| 1881120756 | Landmark Rehabilitation Hospital of Salt Lake City, LLC | Rehabilitation Hospital | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2017-05-11 |
| 1689913451 | Landmark Hospital of Salt Lake City, LLC | Long Term Care Hospital | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2013-02-13 |
| 1629303169 | Silverton Group LLC | Hospitalist | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2009-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689913451 | Landmark Hospital of Salt Lake City, LLC | Long Term Care Hospital | 4252 S Birkhill Blvd, Murray, UT 84107-5715 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487855714 | Promise Hospital | Long Term Care Hospital | 9811 Quintail Ln, South Jordan, UT 84095-3241 | 2007-05-31 |
| 1609838911 | Promise Hospital of Salt Lake Inc | Long Term Care Hospital | 8 Th Ave C St, Salt Lake City, UT 84143-0001 | 2006-04-03 |
| 1487851515 | Promise Hospital Pharmacy | Long Term Care Hospital | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2007-07-02 |
| 1760412530 | Utah Valley Specialty Hospital Inc | Long Term Care Hospital | 306 River Bend Ln, Provo, UT 84604 | 2006-07-04 |
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| 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.