INTERMOUNTAIN HEALTHCARE (NPI# 1235568130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235568130 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN HEALTHCARE |
| Practice Address |
8th Avenue and C St Lds Hospital Salt Lake City UT 84143 |
| Mailing Address |
Lds Hospital 8th Ave and C St Pob Suite 172 Salt Lake City UT 84143-0001 |
| Practice Telephone | 8014088500 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |
| Authorized Official Name | MR. STEPHEN BRADFORD (CLINIC MANAGER) |
| Authorized Official Telephone | 8014088500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 278646 | UT | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA # | BC 5118511 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790236446 | Intermountain Healthcare | General Acute Care Hospital | 821 Edgewood Dr, Ogden, UT 84403-4233 | 2016-10-18 |
| 1720445307 | Intermountain Healthcare | General Acute Care Hospital | 884 Black Rock Dr, Santa Clara, UT 84765-5440 | 2016-01-27 |
| 1144579616 | Intermountain Healthcare | General Acute Care Hospital | 5572 West Slate Canyon Drive, Apt B-101, West Jordan, UT 84081 | 2012-08-30 |
| 1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
| 1942332465 | Intermountain Healthcare | General Acute Care Hospital | 4401 S Harrison Blvd, Mckay-dee, Ogden, UT 84403 | 2007-03-10 |
| 1821548702 | Intermountain Healthcare | Chronic Disease Hospital | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-10-04 |
| 1790230860 | Intermountain Healthcare | General Acute Care Hospital | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-08-18 |
| 1114378288 | Intermountain Healthcare | Clinic/Center | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-06-29 |
| 1316304918 | Intermountain Healthcare | Rehabilitation Hospital | 1034 N 500 W, Speech and Hearing, Provo, UT 84604-3380 | 2016-01-27 |
| 1316331523 | Intermountain Healthcare | Clinic/Center | 527 W 400 N Ste 2, Orem, UT 84057-1951 | 2015-03-25 |
| Street Address |
8TH AVENUE AND C ST LDS HOSPITAL |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881612927 | William Thomas Sause | Radiology | 8th Avenue and C St, Salt Lake City, UT 84143-0001 | 2006-07-17 |
| 1174724579 | William Brian Wegesser | Physician Assistant | 8th Avenue and C St, Ldsh Hospital, East 8, Salt Lake City, UT 84143-0001 | 2007-05-31 |
| 1598966822 | Kent Guy Meredith | Internal Medicine | 8th Avenue and C St, Cardiology 7th Floor, Salt Lake City, UT 84143-0001 | 2007-05-31 |
| 1679774970 | Peter Anthony Colasurdo | Physician Assistant | 8th Avenue and C St, Lds Hospital, East 8, Salt Lake City, UT 84143-0001 | 2007-05-31 |
| 1427179605 | Tricia L Oborny | Pharmacist | 8th Avenue and C St, Inpatient Pharmacy, Salt Lake City, UT 84143-0001 | 2007-04-03 |
| 1710019450 | Bradley Zollinger | Physical Therapist | 8th Avenue and C St, Salt Lake City, UT 84143-0001 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053725572 | Robert Thomas Nuttall | Respiratory Therapist, Registered | 8th Ave. and C Street, Salt Lake City, UT 84143 | 2014-06-12 |
| 1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
| 1629142898 | Robert L Mazzola | Internal Medicine | 8th & C Street, Intermountain Sleep Disorders Center - Lds Hospital, Salt Lake City, UT 84143 | 2006-11-20 |
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1396838926 | Sharon Briggs Schneider | Pharmacist | 8th Ave and C Street, Salt Lake City, UT 84143 | 2006-10-02 |
| 1700818911 | Rebecca Bailey | Psychologist | 4n, 8th Ave C Street, Salt Lake City, UT 84143 | 2006-07-07 |
| 1851348924 | Gayle White | Nurse Practitioner | 8th Ave C Street, Lds Hospital Wound Care Service, Salt Lake City, UT 84143 | 2006-05-27 |
| 1669459301 | Steven Eugene Nickman | Physician Assistant | 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 | 2005-12-23 |
| 1912454448 | Todd J Seamons | Pharmacist | 8th Ave & C St, Outpatient Pharmacy, Salt Lake City, UT 84143 | 2016-09-01 |
| 1194061192 | Daniel John Villella | Physician Assistant | 8th Ave & C Street, Salt Lake City, UT 84143 | 2012-12-19 |
| Find all providers in zip 84143 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114451622 | Tracy Albers | General Acute Care Hospital | 844 S 800 E, Salt Lake City, UT 84102-3516 | 2017-04-12 |
| 1205215076 | University of Utah | General Acute Care Hospital | 30 N 1900 E # 4a100, Salt Lake City, UT 84132-0002 | 2015-05-26 |
| 1962745786 | Univeristy of Utah | General Acute Care Hospital | University of Utah Hospitals & Clinics, 1c412 University Medical Center 30 North 1900 East, Salt Lake City, UT 84132-2155 | 2013-03-29 |
| 1184966772 | Intermountain Health Care | General Acute Care Hospital | 1410 S Mcclelland St, Salt Lake City, UT 84105-2408 | 2013-03-21 |
| 1285994400 | Veterans Administration | General Acute Care Hospital | 1901 Berkeley St., Salt Lake City, UT 84108 | 2012-05-22 |
| 1689809378 | University of Utah Hospital and Clinics | General Acute Care Hospital | 30 North1900 E, Salt Lake City, UT 84132-0001 | 2009-05-25 |
| 1396999041 | University of Utah Hospital | General Acute Care Hospital | Office of Graduate Medical Education, 1c412 University Medical Center/ 30n 1900 East, Salt Lake City, UT 84132-0001 | 2008-11-07 |
| 1437333895 | Ina Amber Md LLC | General Acute Care Hospital | 1151 E 3900 So, Suite B275, Salt Lake City, UT 84124 | 2007-12-20 |
| 1295920023 | Unversity of Utah Health Care | General Acute Care Hospital | Division of Geriatrics Univerisity of Utah, 30n. 1900e. Ab193 Som, Salt Lake City, UT 84132-0001 | 2007-09-14 |
| 1902359052 | University of Utah Hospitals | General Acute Care Hospital | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2016-07-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84143 |
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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.