PROMISE HOSPITAL OF SALT LAKE INC (NPI# 1417111394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417111394 |
| Entity Type | Organization |
| Organization Name | PROMISE HOSPITAL OF SALT LAKE INC |
| Other Organization Name | PROMISE HOSPITAL OF SALT LAKE |
| Practice Address |
8 Th Ave and C St Salt Lake City UT 84143-0001 |
| Mailing Address |
8 Th Ave & C St 4th Floor Salt Lake City UT 84143-0001 |
| Practice Telephone | 8014087103 |
| Practice Fax Number | 8014087113 |
| Mailing Telephone | 8014087103 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | WAYNE KINSEY (CEO) |
| Authorized Official Telephone | 8014077110 |
| Authorized Official Credential | MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
9187437-1704 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2100986 | 01 |
| Other Name | Type Code |
|---|---|
| PROMISE HOSPITAL OF SALT LAKE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Street Address |
8 TH AVE AND C ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84143-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043308380 | Daanish Hoda | Internal Medicine | 8 Th Ave and C St, Lds Hospital, East 8 - Bmt, Salt Lake City, UT 84143-0001 | 2006-10-11 |
| 1487935268 | Adam Eresuma | Physical Therapist | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 | 2011-09-07 |
| 1699074732 | Ihc Health Services Inc | Obstetrics & Gynecology | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 | 2011-03-15 |
| 1053610196 | Ihc Health Services Inc | Obstetrics & Gynecology | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 | 2011-03-15 |
| 1164665220 | Shade Atkinson Williams | Internal Medicine | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 | 2009-04-19 |
| 1801049275 | Benjamin R Andrus | Pharmacist | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 | 2008-10-29 |
| 1033370291 | Jeffrey Von Miller | Hospitalist | 8 Th Ave and C St, Intermountain Hospitalist Group, Salt Lake City, UT 84143-0001 | 2008-06-20 |
| 1780859645 | Tamara Lee Ross | Pharmacist | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 | 2008-04-22 |
| 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 |
| 1235568130 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and C St, Lds Hospital, Salt Lake City, UT 84143 | 2013-11-01 |
| Find all providers in zip 84143 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396835229 | Univ Ut Neurophsychiatric Inst | Pharmacy | 501 Chipeta Way, Salt Lake City, UT 84108-1222 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124084835 | Icare Pharmacy | Pharmacy | 109 W.gentile Street, Layton, UT 84041 | 2006-04-21 |
| 1013354067 | Mckay-dee Hospital | Pharmacy | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2013-05-31 |
| 1609110816 | Ihc Health Services, Inc. | Pharmacy | 1000 N Main St, Richfield, UT 84701-1857 | 2012-11-15 |
| 1154674653 | American Fork Hospital | Pharmacy | 170 N 1100 E, American Fork, UT 84003-2096 | 2012-10-22 |
| 1225389810 | Park City Medical Center | Pharmacy | 900 Round Valley Dr, Park City, UT 84060-7552 | 2012-09-24 |
| 1316218449 | Utah State Hospital Pharmacy | Pharmacy | 1300 East Center Street, Provo, UT 84606-3554 | 2012-01-20 |
| 1972870517 | State of Utah | Pharmacy | 14425 Bitterbrush Ln, Draper, UT 84020-9501 | 2011-11-28 |
| 1396935375 | Utah Valley Specialty Hospital (pharmacy) | Pharmacy | 306 River Bend Ln, Provo, UT 84604-5625 | 2007-07-26 |
| 1942425475 | Castleview Hospital | Pharmacy | 300 N Hospital Dr, Price, UT 84501-4218 | 2007-04-17 |
| 1922160043 | Moab Valley Healthcare, Inc. | Pharmacy | 450 Williams Way, Moab, UT 84532-2065 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
| 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.